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40, "a little overweight", 2.5 kids, job from hell, ex-smoker and tonight’s the night. The wife is in the mood. The kids are asleep, the neighborhood is quiet for a change and it's a perfect night to make love. Familiar, but still nice after all these years you begin your love making ritual, your right as a man. She's not as small as she used to be, that aching feeling like a splinter in your mind that started after your first child. "Does she still feel me inside?" I've been there, I've thought it too. Even more so after the second child. Here's a survey fact gathered from my web site www.Herbal-SexAphrodisiac-Libidus.com/ . Guys with their penis's ranging from 4" to 9", 98 percent surveyed thought the same thing! A 9" guy worried about pleasing his woman? Hard to believe? A woman’s vagina will return to almost her original size within a year after her first child. So what has changed in him? Emotional content? Time and age? Penis size? The answer is all three. So let us as men, look directly into the gaping maw of the lion’s truth. It would take a much, much longer article than this to help everyone who is reading this with their individual, emotional content. But, the mind follows the body and the body follows the mind. So let's analyze "Time and Age" and "Penis Size". In a positive direction, that, becoming harder and longer in your shorts, will do wonders for your emotional content. Myth #1: Your penis cannot be made larger without surgery or a miracle. Fact: I have gone from 7.5", semi thin penis, to a 9", thicker member in under 3 months. Myth #2: Penis pumps make you larger and thicker. Fact: Pumps swell you for about 1-5 minutes and have no long term benefits’. You can also burst capillaries and cause permanent damage. Keeping the penis swollen for long periods of time can increase your girth slightly over a few months, but it will not increase the hardness of your erection. Over time it will do the opposite. Myth #3: Just taking a pill will give me more length. Fact: Most of you have already learned by experience that this is false. The "Magic Pill" doesn't exist, but, it can be our best friend in making the powerful gains we really, really want, if you combine it with "Jelqing". Ask any porn star...and I have...what is the best part of having sex on a constant basis. "The growth that comes from holding an erection for an hour or more, four to six days a week." Over time, this gives you permanent, increased, length and girth. Why? Did your brain already come up with the answer? Your penis is a muscle. It's time to start your own penis work out, starting today. It's time to go to the Jelqing gym! Use these techniques at your own risk! Never Jelq or exercise to the point of pain or excessive discomfort. The little man. This is how we will think of our member from now on as we work out a fitness routine to start you on the road to more gain to the number one muscle. The penis is made of soft tissues much like the rest of the muscles in your body. To gain muscle you perform sets, from light to heavy, from minimum reps to increased reps. The penis can do curls and it can flex. Which sounds more like fun? Driving to the gym for an hour of sweating or a half an hour in the bathroom Jelqing? The penis is composed of tissues. To lengthen it, you must massage it to make the tissue grow. If tissue growth can be achieved merely by swallowing pills, bodybuilders would not need to workout! Jelqing isn't complicated, but like any workout to get maximum gains, you want to focus on technique. You can have your new penis in 30 days or 3 months depending how closely you adhere to these techniques. Your doubts are understandable; this is virgin territory for most people. I have 1.5" more than I had when I started and you can too. If you only use these techniques for a week, you will feel better blood flow and stronger erections. Preparation is a key component. The penis tissue must be made warm before exercises begin for maximum gain in a short time. An extra warm wash towel, wrapped around the shaft, for at least a minute is the best start. After being in a hot shower for 10 minutes also works well. Heat the tissue, start the blood flow, begin the stretch, then the Jelqing. After the warming period is initiated, we will stretch the penis by placing your finger and thumb in an "OK" sign, behind the head of the penis. Use the head to stretch, were not trying to grow more skin, we are trying to lengthen the shaft. Basically we will point towards 12, 3, 6, and back to twelve on the clock. Hold each clock position to your own level of comfort for at least 15 seconds. Also include pointing the stretch straight out in front of you. So it is up, down, left, right and out. Ok, that's the warm up, pretty simple but very important. The Jelq: Done right, you can see gains very quickly. Your penis will have a different feel for most men the first time you perform the Jelqing technique. One of the best gains is the control over premature ejaculation. Supplies: Wash towel, Soap or hand cream (I recommend the penis oil I sell at my site. "Of course you do" you’re thinking. The Penis Oil we make drives blood into the penis in seconds, clears unseen blood clots and increases erection strength even after ejaculation. Our penis oil is made for Jelqing and increasing gains in a short time. It is all I will use.) Step One: After the warm up, with one hand, keep a circle with your first finger and thumb of your left hand around the base of the penis. Keeping the blood in the shaft while you are Jelqing. Squeeze just enough to keep a semi-erect penis. Step two: Making the circle around the shaft starting at the base, with your thumb and first finger on the right hand, is how we drive the blood from the base of the penis to the head. This is not a race, develop a count and keep a rhythm. From the base to the head, count 1-2-3 for each Jelq. Keep the other hand, holding the base, in the same spot for every Jelq. Try to do at least 50-100 jelqs per session. We are not trying to cut off the blood flow into the penis. Every 25 "Jelqs" I switch hands and let blood flow normally back into the shaft. Step Three: Vitamin intake. When a weightlifter goes to the gym, he keeps his muscles growing by helping them heal faster and get stronger with nutrient intake. New muscles need to eat, feed them right. I use a combination of herbs, and buy a one month supply which I take over a six week time period. The herbal combination stays in the blood stream for up to four days. I take two caplets one half hour before my exercise begins. I don't stop there. I also use a high quality stretching device, which combined with the Jelqing, herbs and vitamins has given me gains at 40 yrs old, I only dreamed of at 25. See the rest of this article on our home page, click on the "Jelqing" button. vimax natural penis enlargement pills does penile enlargement work prosolution does penis enargement work prosolution pennis enlargement pills vimax customer service penis enargement pic vigrx side effects

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Since the release of the erectile dysfunction drug Viagra onto the market in the mid-1990’s, there have been a number of clinical reports regarding the complications associated with the erectile dysfunction drug. Viagra users report adverse side-effects to the drug, including cardiovascular and ocular complications. Yet, despite reports of such serious side effects, men of a variety of ages still choose to use Viagra as a catch-all cure for erectile dysfunction. Viagra works at treating erectile dysfunction in the first place, by blocking two specific enzymes in the body, known as PDE5 and PDE6, which exist throughout the body, but in higher concentrations in the penis. The problem here: PDE6 also plays an important role in the processes that make vision possible. Thus, blocking the enzyme causes complications with the vision of some Viagra users. Proponents of Viagra argue that the reports of Viagra's complications can be explained away by aging—that the trouble with vision typically reported by Viagra users are mere results of the aging process. But, considering that the side effects occurred even in Viagra’s youngest users, we know this cannot explain every instance of the adverse side effect. In truth, we can determine that in many cases, Viagra causes men to go blind. This isn’t to say that Viagra isn’t without its positive attributes. Viagra users certainly seem to profess gratefulness to the erectile dysfunction drug, for its effects on their sexual relationships. But is the cost of sexual satisfaction too high for men? Men seem willing to risk life and limb for the opportunity to have somewhat normal penis function in the form of an easy-to-swallow little blue caplet, but with such great risks as cardiovascular and ocular complications, we have to wonder if the risk balances with the reward. For men who wish to avoid the complications associated with Viagra, there are other , more natural options for the temporary cure of erectile dysfunction, Following the popularity of Viagra in the mid-1990’s, many companies began marketing natural male enhancement alternatives to the popular drug. Yet, Viagra users still continue using Viagra, despite the risk of blindness and other obvious and prevalent complications associated with the manufactured drug. More public awareness about dangerous complications associated with Viagra is necessary, as well as more public awareness about the natural male enhancement alternatives to the erecticle dysfunction drug. By educating Viagra users, we can ensure that fewer men lose their vision due to this very dangerous erectile dysfunction drug. Men shouldn’t have to choose between their vision and their sex lives, and the many natural male enhancement alternatives to Viagra make this choice unnecessary. cheap vigrx pills do penis enlargment pills really work permanent penis enlarement pnis enlargement without pills penis enlargment drug penile enlargment drug natural penis enlarement pills safe penis enlargment penile enlargement forum

The next time you’re at a party and there’s a lull in the conversation rather than trying to fill the gap with your knowledge of sports statistics, sitcom trivia or movie tidbits wow your listeners with this amazing array of info on everyone’s favourite subject: SEX! Mighty Mr. Willie Size There’s a great variety in the size of flaccid penises, but there’s less difference when they’re hard because smaller penises enlarge more during erection. The average length for a fully erect penis is 15 cm (about 5 ¾”). Ninety percent of men’s pleasure poles measure between 13 and 18 cm (5 - 7”). Records for the shortest and longest fully functional penis are a tiny 1.5 cm and a whopping 30 cm! If you feel the need to see how you measure up first get an erection then, while standing, angle your penis straight out from your body. Extend a ruler from your pubic bone just above the base of your penis out to its tip and count the inches. Helping Him Grow Because there are no muscles in the penis that affect size, exercise doesn’t do anything to make your penis bigger. There are techniques for enlargement but they involve serious surgery and can have very unpleasant side effects or complications. No matter what the advertisements say no creams or ointments will help him grow at all Shape Concerned about the way your equipment stands? There’s no need to be, 25% of all penises bend in some direction. Even when erect some bend downward. Sperm Production Several hundred million sperm are produced daily by a healthy, fertile man. On ejaculation between 5 to 15 ml (1 teaspoon to 1 tablespoon) of semen is released, containing about 300 million sperm. Ejaculation Spasms When a man climaxes the muscles at the base of his penis contract approximately every 0.8 seconds, expelling semen in up to 5 exquisite spurts. The Male ‘G-spot’ In addition to their penises men have other highly erotic parts of their bodies. One is the male ‘g-spot’ or more accurately ‘p-spot’ - for prostate gland. Stimulation of this spot, either externally through the perineum, the skin between your anus and testicles, or internally through the anus can result in extremely pleasurable sensation, including orgasm. “Blue Balls” The medical term for blue balls is epididymitis, an inflammation of the epididymis, which is in the scrotal sac and where sperm mature. In simple terms blue balls occurs when the epididymis get blocked up with sperm that have left the testis but not the penis. The vas deferns are the conduit for the sperm from the testis to the urethra. When they get blocked you get pain. You can usually relieve this by ejaculating. The Honey Pot Women’s vaginas average between 8 - 10 cm in length, about 3 - 4 inches. This expands during intercourse. Including her clitoris, vaginal lips and internal spongy tissue a woman has just about as much erectile tissue as a man, but most of it is inside her body. Women and Orgasm At least 70% of women don’t reach an orgasmic climax through intercourse alone, so remember to pay lots of loving attention to her most sensitive genital spot - the clitoris. Female Ejaculation During stimulation of the ‘G-spot’, a small area on the upper inside of the vaginal wall about 1 ½ to 2 inches back from the vaginal opening, some women ejaculate through the urethra. One to two ounces of clear, odourless fluid are expelled in a glorious gush. Baby Making At birth a woman’s ovaries contain up to 2 million immature eggs. After the onset of menstruation 1 egg matures every month and is released into the vagina just waiting for those millions of sperm to come fertilize it! Sperm can survive in the vagina for 3 to 5 days. Anal sex and pregnancy Because sperm can’t travel internally from the rectum to the vagina, technically it’s not possible to become pregnant through anal sex. But beware, after intercourse semen can leak from the anus and drip down to the vagina resulting in ‘splash’ conception. Of those who use anal sex for birth control, every year 8% end up pregnant! Bodacious Breasts Small, large, round, pointy, no matter what their shape, men just seem to love women’s breasts. Mammaries are as diverse as the women they sit so prettily on, but here’s some general guidelines: • It’s perfectly normal for a woman to have breasts that are different sizes, just as her hands and feet differ slightly in size. • When a woman is aroused her breasts swell by up to 25% and her nipples may become very hard. • Many women have hair around their nipples. • About 10 percent of women have inverted nipples. • Breasts are mostly fatty tissue which isn’t very sensitive to caresses and kisses. However, because the nipple itself and the area surrounding it (the areola) are full of nerve endings they’re very sensitive to touch. • Men also have many sensitive nerve endings in their nipples and can become very excited by nipple kisses, sucks and twirls. “Doing It” How Often? According to surveys by condom company Durex, the worldwide average for making love is 106 times per year. Canadians fit right in with the ‘norm’, hitting the sheets at an annual rate of 105 times or about twice a week. That puts us behind the French - 141, Americans - 138, Russians - 131, Australians, Brits and Germans - all at 112, and the South Africans and Poles - 109. But ahead of Mexico - 102, Italy - 92, Spain - 82, Thailand - 80 and Hong Kong - 57. Every day lovemaking occurs about 120 million times around the world, resulting in 910,000 pregnancies. Saturday night is the favourite time for Canadians to have sex and most North Americans do it at 10:34 pm. How Long? What Canadians lack in frequency we make up in stamina. With an average lovemaking time of 22.7 minutes we place second behind the Americans who carry on for 28.1 minutes. Of that time thrusting intercourse lasts between 6 to 10 minutes.For most Canadian couples foreplay lasts an average of 12 minutes All By Yourself 95% of men masturbate, compared to 70% of women. First Time Sex When? Young Canadians start having sex slightly earlier than most. While the global average at which sexually active 16-21 year olds first had sex is 15.9 years, Canadians jumped in at an even 15 years. First Time Satisfaction While we might be starting younger we may be enjoying it less. 37% of young Canadians indicate that first time sex was more disappointing than they expected while only 19% indicated it was much better than they’d hoped. First Time Protection 74% of young Canadian lovers used some form of contraception the first time they had sex. While 58% used condoms and 16% used other methods a much too large 26% didn’t use any type of protection! Was it Good for You? On the whole young Canadians are fairly generous lovers, with 64% of women and 65% of men putting their partner’s sexual satisfaction before their own. Sexual Fears Not surprisingly the top two fears related to sexual activity for young Canadians are fear of unwanted pregnancy - 21% and fear of contracting HIV or other STDs - 44%. But despite these concerns more than one third say that fear of HIV has not changed their sex life. Sexual Problems Sexual Dysfunction More than 40 percent of women and 30 percent of men suffer from some type of sexual difficulty such as no interest in sex, inability to achieve orgasm, painful intercourse, or premature ejaculation. Premature Ejaculation About 25% of men come before they want to, or before their partners want them to. For men under 40 premature ejaculation is the most common sexual problem. The good news is that by strengthening their genital muscles with Kegel exercises and by practicing building up to a climax through masturbation and then stopping to rest and building up again and stopping to rest and building up again and so on… most men can learn to last much longer! com enlargement penile penile pump penis enargement program penis girth enlargement penile enlargement before and after photo penis girth enargement penis enargement product vimax penis enlargement cream plus review vigrx penile enlargement forum

KNOWING ROSACEA Rosacea is a disorder of the blood vessels. It is a common skin disorder. Approximately 48 percent of the world population suffers from Rosacea. However, Rosacea is one of the most misunderstood states of the skin. FAMOUS PERSONS SUFFERING FROM ROSACEA If you are having Rosacea, you are then in the august company of eminent persons. A few of the noted personalities suffering from Rosacea are JP Morgan, WC Fields, Cameron Diaz, Bill Clinton, Prince Harry of England, besides the late princess of Wales and mother of Prince Harry – Diana. ROSACEA SYMPTOMS The common symptom of rosacea is transformation of the skin color into red. The body portions most affected by rosacea are the cheeks, nose and forehead. At times, such redness and flushing of skin can also spread to the ears, scalp, chest or the neck. As Rosacea progresses, the reddish tinge can turn into a permanent condition. There can also be a marked visibility of the small blood vessels particularly at the skin surface, stinging or burning skin sensation, eyes turning gritty and reddish, and pus-filled or simple bumps that appear red. Among these severe symptoms are bulbous noses. The maiden rosacea symptoms are nagging redness which is often wrongly attributed to cleansing, exercising or temperature changes. SIMILAR SKIN DISORDERS Many confuse rosacea with seborrheic dermatitis or/and acne vulgaris. Mentionably, rosacea can co-exist with acne vulgaris and seborrheic dermatitis. THE ROSACEA VULNERABLE SECTION It has been generally noticed that the people with fair skin are the most vulnerable section with reference to rosacea. Therefore, rosacea does have a hereditary strain. Those having a descent from the Celtic or the fair-skinned European stocks are genetically inclined to suffer from rosacea. Notably, both the sexes can fall prey to rosacea. People of all ages can be affected by rosacea. It has also been noticed that people in the age group of 30-50 are easily affected by rosacea. Nonetheless, women in their middle ages are the most vulnerable section of the populace. The reason is, of course, menopause-abetted hot flushes. However, rosacea symptoms are more severe with reference to men. CAUSES OF ROSACEA There is no unanimity among the medical researchers as to the exact rosacea pathogenesis. Nonetheless, there is a concurrence in views insofar as to the cause of rosacea. Rosacea occurs when stimuli repeatedly dilate the blood vessels, and as a result of which the blood vessels get damaged. The damaged blood vessels dilate rather easily. Besides they either remain permanently dilated or stay dilated for a considerably long time. The consequence is redness of the affected portion and its flushing. ROSACEA PAPULES OR INFLAMMATORY PUSTULES The papule or inflammatory pustule can be I the form of a boil, or a pimple, or an eruption for that matter. In rosacea (papulopustular), the mediators (inflammatory ones) as well as immune cells ooze out from the skin bed that is basically micro-vascular by nature. This, in turn, leads to the inflammatory pustule or papule. OTHER CAUSES OF ROSACEA Various conditions can also lead to rosacea. One thing is for sure: strenuous movements cause blushing and flushing. A few of the situations where such flushing or blushing can be formed are as follows: Stress, cold weather, acute sunburn, and extreme heat exposure especially from the sun. Rosacea can also be caused by sudden changes in temperatures while traveling, or in heated rooms especially in winter. FOODS CAN ALSO CAUSE ROSACEA Certain food items that contain very high quantity of histamine have been identified as responsible for the eruption of rosacea symptoms in many people. Similarly, spicy food besides alcoholic substances can definitely trigger off rosacea. MEDICATIONS TOO CAN LEAD TO ROSACEA Several topical irritants and medications may at times cause rosacea. Take for example several drugs people take to hide wrinkles or to deal with acnes. Among these chemicals those particularly responsible for causing rosacea are tretinoin, benzoyl peroxide, isotretinoin, microdermabrasion, and certain chemical peels. Obviously, one should immediately stop the use of any such irritants the moment any rosacea symptoms appear. INDUCED (STEROID) ROSACEA The term ‘steroid induced rosacea’ points to such rosacea symptoms that are caused by steroids, particularly nasal and topical. Notably, these types of steroids are generally prescribed for patients suffering from seborrheic dermatitis. First aid: In such circumstances, immediately consult the physician. Moreover, one should begin the medication discontinuing process over a period of time. Decrease the dosages slowly. Else there may be a flare up of the rosacea symptoms. MITES & BACTERIA CAN CAUSE ROSACEA AS WELL A considerable number of rosacea people have been found to possess the species of mites known as demodex. This is more so the case with those people who have rosacea from steroids. Mentionably, the presence of a large number of these demodex mites can only cause rosacea. But, they cannot by themselves cause the rosacea condition. The demodex mites will have tom act in conjunction with other factors to be able to trigger off the rosacea states. Bacteria, especially the intestinal bacteria, can cause rosacea. These intestinal bacteria reside in our digestive highways. This is a neurological dysfunction. Such rosacea conditions can erupt after the intestinal bacteria activate the plasma kakllikrein-kinin system. THE KAKLLIKREIN-KININ SYSTEM The kakllikrein-kinin system or the kinin-kallikrein system or just the kinin system is a not well delineated structure of blood proteins. The blood proteins have a major role to play in causing pain, coagulation, control of blood pressure and inflammation. Mentionably, the major mediators of the kinin system are bradykinin and kallidin. Both of them act on different cell types. Both are vasodilators DIFFERENT FORMS OF ROSACEA Researchers have identified four forms of rosacea. Each of these subtypes can have its typical symptoms. More importantly, one person can have more then one of the subtypes at the same time. THE ROSACEA SUBTYPES The four rosacea subtypes are Ocular rosacea, Phymatous rosacea, Papulopustular rosacea and Erythematotelangiectatic rosacea. OCULAR ROSACEA Ocular rosacea mainly affects the eyes. The Ocular rosacea symptoms are burning and itching besides sensations as if there are foreign bodies within the eyes. When anyone is affected by ocular rosacea, the eyes and the eyelids turn dry and red. Irritation of the eyes and the eyelids is also very common. PHYMATOUS ROSACEA Phymatous rosacea affects the nose, ears, cheeks, forehead, chin and the eyes. Phymatous rosacea is also linked with the nose enlargement dysfunction called rhinophyma. Another disorder closely connected with phymatous rosacea is the visibility of small blood vessels near the skin surface. Other symptoms of phymatous rosacea are appearance of irregular surfaces on the skin and which may be also accompanied by nodularities. The skin can get thick as well. PAPULOPUSTULAR ROSACEA Many confuse Papulopustular rosacea with acne. However, Papulopustular rosacea remain reddish while acne do not. The common Papulopustular rosacea symptoms are papules (red bumps) filled with pus. Such bumps are called pustules. Papulopustular rosacea papules with or without pustules generally dissolve within five days. People having Papulopustular rosacea usually have permanent redness of their skin. This state is described medically as erythema. Another symptom of Papulopustular rosacea is they tend to flush or blush quite easily. Moreover, the patient can also have burning or itching sensations. ERYTHEMATOTELANGIECTATIC ROSACEA Erythematotelangiectatic rosacea causes the small blood vessels to appear rather prominently near the surface of the skin. This typical state is known as telangiectasias. TREATING ROASAEA There are various treatments for rosacea people. The strategies vary depending on the acuteness and the rosacea subtype that a particular person may be suffering from. Hence, there can be different treatments for different persons suffering from the rosacea symptoms. Hence, the dermatologists opt for the sub-type-directed method to diagnose, analyze and treat rosacea. LASER TREATMENT Laser treatment in dermatology is variously known as Broad spectrum (Intense Pulsed Light), or Single wavelength (Vascular laser). Laser treatment is one of the most popular treatment methods of rosacea. In laser treatment, light is made to infiltrate the epidermis. The light hits the skin’s dermis layer. It targets the dermis capillaries. The oxy-haemoglobin gets heated up after it absorbs the light. The process heats up the capillary walls till 70 degree centigrade. This heat destroys the capillary walls. The damaged walls are then absorbed by the body via its defence mechanism. CO2 LASER TREATMENT Focused thin beams of CO2 laser are manipulated to defocus or cut (as scalpels) the tissues. Then these tissues are vaporized. CO2 lasers are used to get rid of the excessive tissues formed by phymatous rosacea. In this method, our skin directly absorbs the CO2 lasers wavelength. SIMPLE STEPS TO TACKLE ROSACEA (i) Gentle skin cleansing regime Always deal with the skin gently and lovingly. Go for only those cleansers that are non-irritating. (ii) Shielding skin from sun Never venture out in the sun-bated beach sans protection shields. Regularly use sunscreens. Choose such a sunscreen that consists of a physical blocker agent. Such active blockers are titanium dioxide or zinc oxide. (iii) Trigger avoidance It is important to maintain a diary of the foods and the climatic or other factors that generally lead to rosacea. In fact, The National Rosacea Society promotes this habit. This approach also goes a long way in identification and reduction of the triggers. Moreover, trigger avoidance is ideal to control the onset frequency of rosacea. But, all alone it cannot check rosacea. Nonetheless, the mild rosacea attacks can be effectively checked if a patient avoids the factors that triggered off the rosacea symptoms. One can get flushing after consuming red wine or food items having high quantities of histamine. Then, go for antihistamines. Some common antihistamines are loratadine or cetirizine. (iv) Eyelid hygiene Eyelid hygiene is especially recommended for persons complaining of eyelid infections. Practice eyelid hygiene frequently. Here are some easy eyelid hygiene steps. Gently scrub the eyelids daily; You can use baby shampoo in a diluted form; Or, you can also opt for any across-the-counter eyelid cleaner. Apply the cleaner in warm compresses. But, mind you, never should it be hot. Carry on the practice several times in a day. MEDICATIONS (ii) Topical & Oral Antibiotics To get instant relief from the rash, redness, inflammation, pustules and papules, you can go for topical and oral antibiotics. An effective topical antibiotic is metronidazole. Similarly, ideal oral antibiotics are the tetracycline antibiotics. Some examples of tetracycline antibiotics are minocycline, doxycycline, and tetracycline. The oral antibiotics are rather effective in treating ocular rosacea symptoms. Isotretinoin is generally given to patients who complain of persistent pustules or papules. However, there are several side effects of isotretinoin. Therefore, isotretinoin is prescribed only in acute situations. It is also given to treat acute acne. Nevertheless, for patients suffering from phymatous and papulopustular rosacea, low dosages of isotretinoin have been delivering the goods. BETA BLOCKERS OR α-2 AGONIST The commonly used α-2 agonist is clonidine. It is helpful to deal with blushing and flushing. But it has side effects. One can feel drowsy or/and one’s blood pressure may also plummet. So, to neutralize this effect, one can use monoxidine as an alternative. Monoxidine has lesser side effects. But many do not find it as effective as clonidine. Propanolol is an ideal beta blocker. It is akin to α-2 agonists. And, it has been found to be effective in dealing with recurrent social blushing rather than the general rosacea flushing. 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There are three stages of pregnancy. These are the first, second and third trimesters. The first trimester runs from week one to week fourteen, the second covers weeks 15 – 26, then the third is weeks 27 – 40. Week 1+2: This is actually before you get pregnant. It’s the stage where your body prepares itself by ovulating. And it’s in these 14 days that the egg is fertilized by the sperm Week 3: The fertilized egg now moves down the fallopian tubes, fluid passes into the ball of cells, dividing them into two. The inner cells will form your baby and the outer cells will form the placenta. Your body, at this stage, is still unaware that it is pregnant. The implantation begins as the cell ball reaches the wall of the uterus. In this process the cells actually bury into the uterus wall, which can sometimes lead to you having spotting. The implanted cell ball now becomes an embryo. Week 4: This is a week of rapid development, and your body now realises it is pregnant. The amniotic sac and cavity begin to develop and also the Yoke sac appears (this will later form the baby’s digestive system). The placenta now starts to form where implantation took place and blood from you will now go into the placenta. It is usually about day 27 that we start to feel the morning sickness. Week 5: The primitive streak (the fore runner of the brain and spinal cord) is now developing. Through this primitive streak the cells will develop into three layers: The endoderm: the bottom layer – develops the glands, lung linings, tongue, bladder, digestive tract, tonsils, urethra and associated glands. The mesoderm: the middle layer – forms the muscles, bones, heart, lungs, spleen, blood cells, and the reproductive and excretory systems. The ectoderm: the top layer – forming the skin, nails, hair, eye lens, nose, mouth, anus, tooth enamel, pituitary gland, mammary glands, and all parts of the nervous system. Other cells will be starting to develop the spine (called the notochord). The first steps towards forming the embryos head, and the first formation of the babies blood cells happen this week. Week 6: The first few days of this week is when your baby’s heart starts beating. The aorta (the largest artery in the whole body) will be starting to form at around day 40. By mid week many organs are starting to form: eyes, arm buds, liver, gall bladder, stomach and intestines, lungs and pancreas. Week 7: This is a busy week for your growing baby. During this week your baby will double in size. The lenses of the eyes are developing and there is also a recognisable tongue. The legs and arms are developing into paddles, the jaws are now visible. Week 8: The cerebellum starts to form this week. That’s the part of the brain responsible for the movement of muscles. Also hand and foot plates, elbow and wrist areas are forming. Towards the end of the eight week the hand plate has formed ridges where the fingers will be. There is further development of the eye; pigment is now appearing on the retina. Teeth buds are now forming within the gums, along with the wind pipe, bronchi, and voice box. The heart is now starting to develop the four chambers. Week 9: Your baby is now starting to form cartilage and bones. During this week the ovaries will develop into the sex organ determining whether you’re having a boy or a girl. The fingers and thumbs are now taking shape. Also the baby is now becoming more active. Week 10: It’s now that your embryo has become a baby, all be it on a rather small scale. There is a fully formed upper lip. The development of the heart now slows as it is past the critical stage. By mid week the earlobes are fully formed. Toes start to develop on the foot plate. As the bones of the palate (roof of the mouth) start to fuse together, the tongue starts to develop taste buds. Week 11: as the morning sickness starts to subside, you may feel your appetite increase. Your baby’s body starts to straighten. In males the penis is now distinguishable and in females the vagina is beginning to develop. This stage is where the baby starts to show individuality, as the muscle structure varies in each baby. Week 12: Your baby will start to develop fingernails over the next three weeks. The brain is now the same structure as it will be at birth. By the end of the week, the gall bladder and pancreas will be fully developed. Also the baby will now be opening and closing its mouth. Week 13: This week vocal chords will form in the larynx. Also the intestines will move from the umbilical cord into the abdomen, and will start to form folds and become lined with villi. Week 14: You may have noticed some changes to the areola (the area around your nipple); it may be getting larger and darker. Your baby’s heart beat will now be able to be heard using a Doppler. Breathing, sucking and swallowing motions will be being practised. The breathing practises will take the amniotic fluid in and out of the lungs. Baby’s hand also becomes more functional. Week 15: The baby’s neck is now defined, with the head now resting on the neck rather than the shoulders. The hair pattern of the baby will be defined by the 102nd day of the pregnancy your baby will now be able to turn its head, open its mouth, kick, press its lips together and turn its feet. Week 16: This week the baby’s toe nails will start to grow. The muscles will be growing stronger and the neck and head are growing straighter. As the uterus starts moving upwards you may start showing more, but this does mean less pressure on your bladder, making you feel like urinating less. Week 17: Your baby will be working on more reflexes this week; blinking, sucking, and swallowing. Development is carrying on with all the existing structures. Through the course of this month your baby’s weight will increase 6 times. Week 18: By mid week your baby’s eyes and ears will now be in the right places. The finger tips and toes will develop pads, and toe and finger prints will start to develop later in the week. Myelinization, a process of coating the nerves with a fatty substance called myelin which speeds up nerve cell transmission and insulates nerves, will start happening this week. Also by the second day of this week meconium (faecal waste) will start developing in the baby’s bowels. Week 19: A creamy looking substance that covers the baby’s body, vernix coseosa, will start to form. This protects the baby and its developing glands and sensory cells. If you’re having a baby girl primitive egg cells are now developed in the ovaries, in fact females are born with all the eggs their ovaries will ever have. Week 20: Most of the major development has now taken place, and the danger zone of the first three months is now over. Your baby will be waking and sleeping, just as newborns do. Also the formation of fine scalp hair and eyebrows will begin. Week 21: Your body is replacing the amniotic fluid very three hours at this stage of your pregnancy. Baby’s leg and arm movements increase as the muscles and bones become stronger. By the end of the week a stethoscope will be able to detect the baby’s heart beat. Week 22: If the baby is a boy, the testes will start to move from the pelvic area into the scrotum. The hair on the head and eyebrows is now visible as white and short. Week 23: The bones in the middle ear start hardening making the conduction of sound possible. The baby will start to gain some considerable weight between now and next month. The size of the baby’s body will start to get into proportion though the head will remain larger than the rest of the body. Week 24: The skin of your baby is wrinkled, but will smooth out as fat is deposited. Also by the end of this week the baby’s heart beat is so strong it is some times possible to hear it by placing an ear on your stomach. Week 25: Baby’s skin is now turning a reddish/pink as capillaries start to develop. The nostrils will now start to open, as they have been plugged unto now. The lungs will start developing blood vessels and the finger and toe nails will now be covering half the nail bed. Week 26: with the nostrils now open, muscular breathing will start. By the end of the week the lungs will be secreting surfactant, a substance which prevents the lung tissue sticking together. Also with the formation of blood vessels in the lungs, they will now also be developing air sacks. Brain wave activity starts this week for auditory and visual activity. Week 27: Bumping and thumping is becoming stronger as your baby grows stronger, you should be feeling around 10 kicks in a two hour period. Baby’s lungs are growing rapidly and there is continual development with brain patterns. Week 28: This is when the eyelids un-fuse and open up. Muscle tone is improving, and the lungs are capable of breathing air. The chances of a baby being born premature from now on, has a greatly improved chance of surviving. Week 29: Eye lashes have now grown, and although still unable to focus, baby’s eyes are now sensitive to dark and light. At this stage of pregnancy the senses of sound, smell and taste are developing. By the end of the week your baby will be able to move its eyes in their sockets. Week 30: Baby is now storing up nutrients taken in by you. Calcium for skeletal development, protein for growth and iron for blood cells. By the end of the week the languno (the small hairs that covered the baby’s body), is nearly all gone apart from some patches on the shoulders and back. Week 31: As the actual growth starts to slow down, the internal organs are still maturing, so make sure your still getting enough folic acid, iron and calcium. Should your baby be born this week they would have the ability to breath, see, listen learn and remember. Week 32: The baby’s iris is now reacting to light. All five senses are now registering with your baby, although smell is limited as baby can’t breathe air in the uterus. Week 33: your baby may now be sucking its fingers. Constipation could be starting for you as your uterus puts more and more pressure on your bowels. Week 34: The pigment of the eyes is not quite fully developed yet, this leaves the eyes looking blue regardless of final colour. And this week your baby will start to develop its own immune system. Week 35: In baby boys the decent of the testes will complete any time now. Your baby may now shift into your pelvis in a head down position, but not all babies’ do this before birth. Week 36: Dimples on the elbows and knees will be forming as well as creases in the neck area due to continual deposits of fat. Also this fat will help baby maintain its body temperature. Week 37: Around 85% are born within two weeks of their actual due date (either before or after), so as you enter this stage be aware for signs of labour. The baby is practising being more aware of its surroundings; this is the ‘orientating response’. This is where the baby will turn towards any source of light. The end of this week marks the end of development, growth will now slow down. Week 38: Meconium is accumulating in the intestines. Meconium is a dark green mass of waste product and cells from the gall bladder, liver and pancreas. Although shortly after birth this will all come out. Week 39: as the baby is settling into your pelvis, you maybe feeling clumsy and off balance. This is because your centre of gravity shifts. Make sure you’re prepared for your trip to the hospital. Week 40: welcome to the final week, that’s if you have not given birth already. Your body will be giving the baby antibodies so it can protect its self from many diseases. The baby will finish dropping into its resting place before birth. So congratulations and welcome to your new born child.