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Sunshine for busy executivesMost people working in corporate offices, spend long hours within the confines of concrete buildings. Some business sectors like IT and manufacturing even have their employees working in night shifts. What we don't realize is that, in such a setup, our bodies do not get adequate dosage of sunlight. Lack of exposure to sunlight is responsible for a range of diseases and health conditions. The body requires sunlight just as much it requires food for its nourishment. Long hours of work in glazed business buildings under artificial lighting, deprive the body of this most basic need, thereby creating a deficiency of the vitamin D group. This deficiency then goes on to create several imbalances in the body, and contributes to diseases. Besides these, Vitamin D deficiency can also cause general muscle weakness, muscle and bone aches and pains and osteoporosis, due to the inability to utilize calcium. The best source of Vitamin D is natural sunshine, and that's why it is called the sunshine vitamin. Vitamin D can be had in the supplement form too, but it is still no match for natural sunlight. In a paper titled 'Vitamin D Deficiency' published in The New England Journal, M F Holick writes that, arms and legs should get exposure to sun for 10-15 minutes every day. "The amount of vitamin D produced depends on the intensity of the UVB in the sun and many other factors. Darker-skinned individuals may need 5-10 times more exposure than a fair-skinned person, in order to make the same amount of vitamin D." Tap that sunlight Early morning is the best time to get out in the sun. There's no better time to get that walk, than in the morning. Park your car a little away from the office building if possible, and walk to your office in the sun. When you take a tea break in the evening, head outside, instead of going to the in-house cafeteria.
Are you the proud owner of this beer belly?While you must have earned a lot of 'brownie pints', a beer gut is not quite something one can be awfully proud of, as it is positively dangerous for your health. Well for one this condition seems to be a common affliction amongst men more than women (though it isn't entirely unknown for women to guzzle beer). A beer gut is normally found in middle aged men as a token for services rendered to a sedentary lifestyle and hours spent accumulating empty calories. How is a beer belly formed? A protruding mid-section in men is generally formed when they consume more than they burn off. So given a busy lifestyle with very little exercise and discretion one generally can end up consuming lot many calories than one is willing to toss out. According to Dr Michael Jensen MD, endocrine and obesity expert at the Mayo clinic, the liver burns calories earned from alcohol instead of the existing fat. So say, if an average beer is around 150 calories plus all the tiny appetizers one has along with the beer (Pizzas, cuts, chips etc.) one can easily understand how these go about accumulating around the belly area in to a paunch. And because the liver was all too busy burning the calories guzzled from the beer, the rest finds a cozy place to settle around the tummy. This is exactly what gives majority of men and some women the infamous paunch or beer gut! GIVE YOUR PAUNCH A PUNCH IN THE FACE Well for starters be a giver and not a taker. Which means give more time to exercise like running, cycling, swimming, skipping, dancing or aerobics which should take care of visceral fat (which is easiest to shake off, by the way). As one ages their calorie needs go down, but then so do their physical activity levels and this is where the fat creeps in. Stick to light beer if you must but do not miss your exercise regimen for anything in the world.  
Woman, look below your face too!Skin problems are not restricted to the face alone. There are several places where there could be problems. You don't have to grimace and bear it always! Moles: A mole is formed when the skin grows out in a crop or cluster. Moles can be quite harmless. At times, moles are also precursors to serious melanomas. If your mole suddenly grows big or changes colour or starts to bleed, see your dermatologist right away. He will advice a biopsy to rule out anything serious. It is always safe to be in the clear! Rosacea: This is an irritating skin condition that is brought on by specific triggers. It is usually manifested as red spots on the face, flushing or small red eruptions on the face. This condition has multiple triggers, the most common one being the sun. With no cure being available for rosacea, avoiding the triggers like sun, alcohol and extreme temperatures is the only solution. For moderate to severe cases, topical or oral antibiotics are prescribed. Depending on the severity, laser treatments that zap the blood vessels that cause the flushing can also be opted for. Ingrown hair: Too much of waxing and shaving results in the hair growing haphazardly. It results in hair curling up and growing up backwards. It can be a painful condition, especially if it gets infected. Wipe the skin with a cloth dipped in warm water to soften the skin so that it can grow freely. If the pus has already found its place, dab a bit of benzyl peroxide on it. Stretch marks: When your skin stretches with rapid weight gain, as in pregnancy, the result is unsightly stretch marks. Stretch marks, though a proud and happy achievement, can be an embarrassingly reality too! Treatment for them is possible when they are still fresh and pink. Applying a vitamin A or retinoid based cream regularly helps reduce the visibility of the stretch marks by making the skin more pliable. White spots: White spots can be anything from PMLE to Vitiligo. Polymorphous Light Eruptions are the typical whitish spots that come up on the exposed parts when you are out in the sun too much. It occurs due to the damage to the melanocytes by the harsh rays of the sun. In some cases, there are antibodies that the body produces against the melanocytes that go around killing the melanocytes in random places. This causes large white spots at random locations on the body which typically spread. So use a sunblock every time you step out into the sun. If you find the spot growing in size, consult your dermatologist. He may determine whether it is vitiligo. Vitiligo has no cure, there are oral medications available, which along with the sunrays help restoring some color to the skin. Birthmarks: These are pigment cells that are overgrown. Most birthmarks fade over time. However, if yours starts growing and changes to a dark brown color, get yourself checked by a skin specialist. Chances are that it could be a melanoma. Birthmarks are usually harmless and do not require removal except for cosmetic reasons. However certain medical conditions like melanoma also warrant their removal. Varicose veins: When blood in the legs isn't unable to pump up against gravity or if the valves of the leg veins are faulty, the blood starts stagnating in the leg. This causes the legs to swell and the veins to look prominent. This painful condition occurs in obese people, at times in pregnancy and in people with jobs that requires them to stand all day. Resting with the feet above chest level is a solution for mild to moderate cases. In severe cases, the solution is laser treatment. Scars: As a child, you burnt your leg by accidentally placing it on the hot silencer of daddy's bike? You may still have a scar to remind you of that incident! Scars happen after an injury to the skin's collagen and elastin. If scarred, you may have to live with it. However, there is no reason why the new injuries have to have reminders for life. Skin discolorations, keloids or pockmarks from acne attacks, whatever the scar, there are multiple creams and laser options available to treat them. Age spots: Also called Liver spots, they have nothing to with either your age or liver. They are caused when your skin produces extra melanin to cope with your sun exposure. Alternate application of a bleaching cream like hydroquinone and an exfoliating cream like a retinoid based cream can help lighten the spots. Do this under your dermatologist's guidance only. Other options include chemical peels and microdermablasion. Lasers are last option treatments for stubborn old spots. Eczema: This is a long-term skin disease, also known as atopic dermatitis. Most common symptoms include dry and itchy skin, rashes on the face, inside the elbows, behind the knees, and on the hands and feet. Currently, there is no single test to diagnose eczema, so doctors rely on information about you and your family. Treatment options do not include cure, only immediate relief from the inflammation and itching can be obtained. Hives: Hives are the red and sometimes itchy bumps on your skin. They usually appear as an allergic reaction to certain foods or drugs. People who have some form of other allergy are more likely to get hives than people who don't have any allergy at all. Other causes include infections and stress. Hives usually go away on their own, but if you have a serious case, you might need medical help. Skin is the largest organ of our body. It is the protective barrier between our body and the outer harmful world full of bacteria, viruses and other dangerous microbes. Hence, it becomes extremely essential that caring for our skin should find top spot on our health care list.
High blood pressure in the little onesIf you are asked to paint a picture of a patient of hypertension, how would it look? Leave the details aside, would you paint an old person, a young person or a child? Most likely, you will paint an old person or may be a middle-aged person. But a child, who would think of a child to have high blood pressure! It may be difficult to believe for most but not only is it possible, its incidence is also increasing gradually. In fact, hypertension in kids is becoming quite common. Studies in USA show that up to 5% children and adolescents have hypertension. What is it? High blood pressure in children and adolescents is also called as pediatric hypertension. Pediatric hypertension is defined by the blood pressure recorded on the mercury, in comparison to the given standard range. As a child grows, there is rapid development in all the milestones. For children, there are percentiles defined for all parameters for various age groups. In children, when the blood pressure is above the 90th percentile but below the 95th, it is called prehypertension. When it is above 95th percentile, it is diagnosed as hypertension. There are no distinguishing symptoms of pediatric hypertension, so it may easily be missed. Please make it a practice to get your child's blood pressure checked on routine visits for medical examination. Why does it happen? High blood pressure in children under ten years of age is usually secondary to some other health condition. It could be due to an underlying heart disease, kidney disease, hormonal disorders or genetic abnormalities. This demands treatment of the main problem. Primary hypertension is noted in older children, over 6-10 years of age and adolescents. There is no specific cause identified for this, other than lifestyle, obesity, rich foods and family history. How bad could it get? Children may show a disordered sleep pattern when they have hypertension. They may suffer from sleep apnea, reflected by snoring or abnormal breathing. Besides sleep, the other effects of hypertension are the known ones. In the long run, it could lead to heart disease, stroke or kidney disease. What to do? It is very important to control the blood pressure from a young age. Regular check-ups and monitoring of the BP is needed. Thorough examination is a must to identify whether the hypertension is primary or secondary. Treatment by medicines is recommended in secondary hypertension, where the underlying condition is to be tackled along with the management of blood pressure. In cases of primary hypertension, medication is suggested only in extreme cases. Otherwise, lifestyle management is the key. It is not a healthy option to start anti-hypertensives this early in life. Give your child healthy food, help him/her maintain the ideal body weight and make sure he/she gets enough exercise physically. The sooner we identify the problem, the better are the results with a disciplined lifestyle. The unhealthy lifestyle is creating chaos in all our lives. How long the kids would have escaped? Our lifestyle reflects on our kids. Follow a healthy routine and keep the family healthy!
Cranky kids in a diner? dealing with them made a bit easy!This has happened to many a parent. They make a reservation at a fine dining restaurant, perhaps with friends and relatives. But their kid screams, and cries,disturbing the entire restaurant, and spoiling the general mood. For this reason, many parents avoid going out altogether, especially to fancy places. But there are ways in which you can handle the toddler when you are at a restaurant. We will show you how. Carry toys Restaurant may be boring at times for toddlers. That's why they turn peevish and may start playing with forks, spoons or knife. So carry some toys, crayons, notebooks, or even a story book, which will keep them busy and you can have a good time. Order something yummy and healthy for the kid A hungry kid is an angry kid. So, order something which is your kid's favorite and also healthy at the same time. Or you can carry something along with you like fruits breads, cherries or other nutritious treats. Keep responding to what kid says The best way to keep childrenwell behavedis to talk to them and respond whenever the child speaks. Don't avoid them or get too engrossed with other people. They get cranky when they don't get a response from you. Take a round with your kid When the kid becomes difficult to handle, just pick him in your arms and take a mini tour of the restaurant or walk outside. This will distract him and relieve his boredom. Don't tolerate any bad behavior If the bad behavior of the kids is intolerable, then firmly tell them that they need to adopt good manners if they want to visit restaurants again. Disturbing other diners is not acceptable. But it doesn't mean that you punish them.You just have to remove them to a place where they don't bother anyone. Make your outing relaxed and enjoyable Above all, don't forget to have fun and make it an enjoyable evening. Don't get too carried away disciplining the kid. You can afford to be a bit silly and enjoy the time with your child.
Mood disordersMood disorder is a category of mental health problems, and it includes all types of depression and bipolar disorder. The cause of mood disorder is not well known. Endorphins in brain are responsible for positive moods. The neurotransmitters regulate endorphins. Depression and other mood disorders are caused by a chemical imbalance in the brain. Life events such as unwanted changes in life may also contribute to a depressed mood. Mood disorders are inherited. Children, adolescents, or adults who have a parent with a mood disorder have a greater chance of also having a mood disorder. Symptoms: Prolonged feeling of sadness Helpless feeling Low self-esteem Intense guilt Suicidal thoughts Loss of interest in daily activities Difficulty with relationships Disturbed sleep Change in appetite or weight Low energy Inability in concentrating Inability to make decisions Frequent physical complaints (i.e., headache, stomach ache, fatigue) Threats of running away from home Hypersensitivity to failure or rejection Irritability Aggressive behaviour Hostility In mood disorders, these feelings appear more intense than what a person may normally feel from time to time. Treatment Psychotherapy: It is focused on changing the individual's distorted views of themselves and the environment around them, working through difficult relationships, and identifying stress triggers in their environment and how to avoid them. Family therapy: Families play a vital supportive role in any treatment process. Antidepressant medications: Medications in combination with psychotherapy has shown to be very effective in the treatment of depression.
Healing yourself after a broken relationshipThere is no singular formula to get over a relationship. Moreover, you cannot 'get over' a relationship like you get over a broken phone. Every relationship is like a grown tree. When it breaks, you have to let it molder into the Earth - the time period between the breaking of the relationship and your comeback as 'you' is the time for transformation - this is your time to understand yourself, your relationship with others, and reach out to the world. Did you know the over 50% of people undergoing breakup tend to resort to emotional eating to rescue themselves from sadness and rush in the comfort hormones? Keep an eye on what you eat to trace the emotional signs you are disguising. Keep a tab on your diet and pamper your body with care. Here are seven basic stages through which you can consciously walk to recover through your broken relationship. Such a process is not linear and you could be undergoing various stages at the same time or in a different order. However, make sure you go through each stage. Missing any stage could result in residual and subconscious anger or denial. Stage 1: Let it outDon't be afraid to accept that you are heartbroken, that you feel like a mess and just wish that your ex-partner was around again. Accepting your emotional state is the first step to being able to unravel yourself out of it. Stage 2: Pondering over the causeThe initial stage post-breakup is primarily spent trying to distract oneself from the absence of the ex-partner by busying oneself with other activities. However, the nagging question 'why did our relationship not work? why did it have to be this way?' lingers, ready to barge in at the very instance you have your moment of peace. The first thing to understand during a breakup is that there is a distinction between analysing and understanding on one hand and obsessing on the other. Try to go through the stages in your relationship which you intuitively trace as being of significance to the break-up. However, remember not to be biased towards yourself and to weigh your responsibility towards the breakup as much as you do your ex-partner's. Stage 3: Taking a hard look at the relationship and learningYou might have had other relationships before where you did not feel the kind of intimacy you felt with this particular person. However, if you feel that you are up to a large part responsible for the break up, then look for the pattern of behavior or thinking which was causing such a breakup. Taking a hard look at your relationship will help you to recognize your mistakes and learn readying yourself to become a more sensitive person with greater understanding of human emotions. Stage 4: Reaching out to the WorldWhile you are working yourself through reasons for breakup and your role in it, don't step back from reaching out to people. Communication is the basic balm that will heal the wound of a broken relationship. Your inner communication with yourself is one dimension of it while talking things out with your friends and close ones is another important dimension. During a conversation about the breakup, don't simply blame your ex-partner completely to blind yourself towards healing. Be honest to yourself and attempt to talk to those friends who can help you through the hard time with care. If you love animals and nature, then reach out to the wild. Take time off from your usual routine and follow your interests. Stage 5: The Bigger Picture of the Break-up Having pondered over the reasons particular to your past relationship, understand that the fundamental reason for any relationship to break up is that the two people involved in it have different ways of looking at the world. Remember that differences do not imply a hierarchy. Differences are essential to human nature. This will help you to forgive your ex-partner, catalysing your redemption from the land of anger and despair. The world is a beautiful place full of diverse kinds of people. Do not let your breakup make you give up on humanity. Stage 6: Letting yourself freeNow is the time to have a relationship with yourself. Explore your interests and dip yourself in them. It is not a crime to be happy with yourself. However, do not use these activities to escape the pain. Let your activities be your company in pain - slowly the pain will fade and you will reconcile with the reality of your broken relationship. Join hobbies which will help you have some time for yourself: pottery, nature watching, animal care, voluntary work. Remember that your identity does not depend on the opinion of your ex-partner: you create who you are. Most importantly, take care of your body - we tend to mess up our body cycles during a breakup. Stage 7: Giving yourself time to become complete before starting off with another relationshipDo not rush into a relationship before you have completely healed from the past relationship. There is a high tendency to try to fill the gap of the absence by moving onto the next most intimate person you know. Give yourself time to recover and answer the following questions before entering into a relationship again: What kind of relationship do you want to have? How would you like to spend your day with her/him? (Remember that a whole day is a series of small activities that you will share with your love - don't focus just on the big stuff like finance, house, and others, emphasis on shared interests). What future do you expect from a relationship? These are the three basic questions. Be free to add on the relevant questions according to your needs and answer them honestly before writing a new chapter into your life. Having pondered over the reasons particular to your past relationship, understand that the fundamental reason for any relationship to break up is that the two people involved in it have different ways of looking at the world. Remember that differences do not imply a hierarchy. Differences are essential to human nature. This will help you to forgive your ex-partner, catalyzing your redemption from the land of anger and despair.
High heels can walk you to the hospital bedHigh heels make a fashion statement which makes us look tall, elegant and good but they cause injuries on a regular basis. High heel shoes have been luxury item once upon a time; today high heels have made themselves a part of every girl's life thanks to supermodels and stars. You will not find any health warning on shoes but they ought to, as they seriously put you at a high risk of numerous health problems. How are high heels and low back painrelated? High heels significantly affect your natural posture and your spine. The natural arch of spine becomes acute when walking in high heels. This poses high risk to the spine getting injured. This not only wears  and tears intervertebral cushions called discs but cause injury to the nerves too.  High heels put strain on muscles of lower back causing pain after a long day of wearing high heels. Nerve trapping, nerve pain and radiculopathy can result from wearing high heels for a long period. This is exhibited     as tingling, numbnessand pain. Arthritis, nerve pain, hammer toes, ingrown toenails and bunions are all common problems due to high heels. Calf muscle shortens and tightens after prolonged use. Jogging, playing, running with high-heeled shoes can tear and rupture calf muscles. What can you do to prevent damage? Firstly ensure your body is in top shape before you start. There is a much less chance of developing low back pain if you are strong and fit. So do activities like swimming, pilates, circuit class, box-exercise and whatever else thatmakes you feel good. Focus on activities that make the abdominal area strong includingyour deep core muscles. Secondly a regular regime of stretching will prevent a lot of problems occurring. Either get involved in a yoga class or make sure you do 10-15 minutes of stretching every day. Stretch your back, your calves and hamstrings especially. Thirdly get sports massage at leastonce-a-month. This will loosen the tightened structures, realign the spine and lengthen the hamstrings, calves and Achillestendon
Sunburn: Overview and treatmentSunburns could also be accompanied by allergic responses to medicines, exposure to sun and sunscreen products, sight-related issues like reduced or complete loss of vision, as well as heatstroke. Over a long period of time, frequent cases of sunburn can result in cold sores, cataracts, skin cancer, and lupus.  The factors which will decide the vulnerability to sunburns are: Type of skin - The type of skin determines the vulnerability and intensity of the sunburn. The most vulnerable groups are those with freckled and fair skin as well with blonde or red hair. Regardless of the color of the skin, all skin types are vulnerable to skin cancer and proper sun protection must be used during times of sun exposure. Season - Summer days carry with them a higher probability of burning the skin. UV Index - This refers to the forecast of the strength of UV light on a particular day. This will let you know the cautionary measures you need to take in order to avoid skin damage. This is put forward on a scale of 0 to 11+ with 0 being the lowest exposure. Latitude - As you move to locations closer to the equator, the sunlight directly passes through the atmosphere to a greater extent. Age - Those who are younger than 6 years of age and those over 60 years are at a greater risk of getting sunburns. Altitude - As you climb higher and higher, the chances of sunburn are also greater since the amount of Earth's atmosphere to keep away the sunlight reduces. Every elevation of approximately 1000 feet, the UV exposure is amplified by about 4%. Location - If you are close to reflective surfaces like snow, water, ice, concrete and white sand, rays of the sun which get reflected off these might harm you. Time of the day - The rays of the sun are strongest between 10 in the morning and 4 in the evening. Though, the probability of getting sunburn are lower on cloudy days, it is possible for the UV rays of the sun to pass through the clouds and negatively affect your skin health. Here are the precautionary steps you can take to avoid getting sunburn: Avoid staying in the sun for a long period of time. Make use of sunscreen and choose clothing which cover your skin. In case you are suffering from sunburn, here are ways to treat it: An over-the-counter pain reliever: In order to lower the inflammation and relieve pain, use ibuprofen or aspirin. Anti-inflammatory condiment: Cortisone cream and aloe vera are two primary ways of reducing the inflammation. Cool bath: Take bath for about 10-20 minutes in water of cool temperature (make sure the water is not too cold). This will cut back the pain and irritation in affected area.  Do not use any bath oil, soap or detergent as this might increase the chances of allergic reactions and irritation to the injury. When drying yourself after the bath, do not rub with towel. Cold compressions: Try application of cold and wet compressions on the concerned region for about 20-30 minutes. Adequate hydration: Make sure you drink at least 8-12 glasses of water to help your skin to recover from the sun damage. Moisturizer: Once your skin begins to heal, use a gentle moisturizer without any scent. Blister treatment: In case you have blisters, do not try to pop them. This will lead to infection and marks.However, if you have large blisters which require to be drained, then pop them using a sterilized needle. Follow this by cleaning the area dry with gauze. After applying ointment to the area (Aloe vera or antibiotic ones like bacitracin and polymyxin B), wrap the area loosely using a gauze bandage. Make sure you do not tie it tightly and change the gauze daily to avoid infection. Medical attention: In case you feel nauseous along with fever, rashes and chills, then make a visit to the doctor. The following symptoms also require you to seek medical attention immediately: Pain in eyes with sensitivity to light, dizziness, high thirst without proper urination, painful blisters, and pale/cool skin.
Reasons for skipping sexThe most important satisfaction brick in a marriage's foundation, sex is where we show the greatest trust, most openly express intimacy and make ourselves most vulnerable. It is the most personal and private area of our relationship. It is the one area that separates this relationship from all others. Yet, there are times for both husbands and wives when sex becomes a burden and not a blessing, an inconvenience instead of intimacy, and a job instead of jubilee. Curious as to why people might be skipping sex? This is only a partial list and far from exhaustive. Reasons related to your body: I have a migraine. I have a stomachache. My body is too tired. My breasts are too sore. I am too sleepy. I can't keep my eyes open. I just need to take a little nap first. Okay, but I have a rash. Okay, but I have several weird looking cold sores. Reasons related to your emotions: I am depressed. I am worried. I am sad. Cry Reasons related to your kids: The kids are still up. We might wake up the kids. I just had a baby. This baby is wearing me out. Reasons related to your experts: My therapist said I need to give myself some time. My counselor said I should create some boundaries. I have to see my Gynecologist tomorrow. The Doctor gave me these sleeping pills for stress and I just took one. Reasons related to your spouse: Who was that girl / guy you were talking to on the phone? Sex, Sex, Sex All you ever want is sex! Why can't you just hold me? You should have asked in a more romantic way! Why do you have to use such crude language? Reasons related to your weather: It's just too hot. It's just too cold. It's too humid. Reasons related to your economy: When the economy improves. When the interest rates go down. When inflation goes down Reasons related to your special circumstances: We just got back from vacation! When I lose 20 kgs. Reasons related to your friends: I need to make a call first. My friend said they only do it once a month. Reasons related to your pets: The dog can see us. The cat is on the bed. Reasons related to your finances: Okay, but first we need to talk about the bills. Why did you charge this hotel room on our credit card? Reasons related to your job or boss: I have to get up early tomorrow. I was up all night last night. I had a long day at work today. The boss just gave me a new project and I have a lot of work to do Reasons related to your religion: Doesn't the Bible warn against having too much sex. I am sorry, but I just took a vow. I am giving up sex for Lent. Reasons related to your in-laws: We are in your parent's house. I have not been able to concentrate since your mother Your parents will hear us. Offer an alternative: Can I just take care of you in the shower? Okay, but you have to drive the kids to school in the morning. Use evasive tactics: Sneak in and go to sleep early. Okay, but let's watch this movie first. It's just too late. I'll be there in a minute. (Take an hour) Can we just cuddle? I just need you to hold me. Ask a sensitive question: Did you go to the bank and make our deposit today? Have you seen the kid's report cards? Wait for your spouse to tease you and then say coldly, well, you just lost whatever you were going to get tonight.
Sex after 40Sexual changes in normal aging after 40: Erection takes longer time Require manual stimulation, particularly by partner Erection may subside during foreplay or coitus Decreased frequency of nocturnal erection Pre-ejaculatory fluid decrease or absent Ejaculation less forceful Seminal fluid volume decreases or absent Frequency of desire for sexual release decreases with age. Aged couples learn to cope with their own sexuality. Some are happy with foreplay and self masturbation, others insist on more usually it is the male. Frequency of sexual intercourse between 20-95 years : Sexual intercourse decreases with age as the study shows. Decreased during 5year interval after 34 years Weekly frequency: 30 - 34 years 2.2%; 60 - 64 years 0.7%; 65  - 74 years 0.4%; 75 - 79 years 0.3% Do we need to change this pattern with Viagra? I would say yes - sex can be  joyful till the last days. Nobody needs to be impotent now. Home devices like rubber bands, ribbons are also used to hold the blood back in the penis when the erection is not adequate. Vacuum pump to draw blood into penis with an application of a ring after erection is also found suitable by some. Active intervention by drugs (both allopathy, ayurvedic and unani) have been successfully developed. They may be applied topically (minidoxil), inhaled (amyl nitrate) inserted into the urethral passage, injected into the corpus cavernosa or taken orally (Sildenafil, Tadalafil, etc.). Finally if all fails silastic rods can be implanted in the penis to give permanent erection. The joy of living lasts a life time.
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