The procedure for assessing health care plans is one that’s difficult to undertake. This can be an enormous challenge, not only in Perth, but other areas on the planet at the same time. There are quite many variables which are at play when referring to healthcare plans. One would have to perform sufficient research regarding this issue in order to not arrive at decisions that are improper. Among the variables which can be employed to assess these applications is price. In the event the application is regarded as rather expensive, many pursue the ones they deem to be affordable and will keep from it.

Second, assessment of primary health care Perth can also be on the basis of the choices which are readily available for many patients, irrespective of race or background. When assessment is dependant on the alternatives that are available, it will not pay too much focus on the problem of prices. That is to not state that since they’re also crucial prices of the plans should be disregarded. Yet, as emphasis is put more about the choices which are accessible, it will help to supply access to people to a number of alternatives they are able to seek for in order to maintain themselves in quite good health and care.

Appropriate assessment pursued and can’t be achieved if targets will not be establish in the beginning. The whole exercise will be carried out where there are not targets to base the assessment of the health care plans Perth on. Perth North Metro Medicare Local is among the top businesses which can be utilized to get advice about the assessment healthcare plans in this area. The ethical standards that are kept within the healthcare plans are included by a few of the problems worth taking a look into. In case the ethos are not proper, the plan will not be of much help.

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But, the aims of the primary health care Perth plans should be quantified based on reality. Lots of times, some associations don’t consider what actually exists on the floor when inventing these targets. That is damaging to the success of the plan generally and should be shunned at any cost. These types of assessments must be performed on a regular basis to help determine their degree of failure or success. Nevertheless, Perth North Metro Medicare Local has a lot of tips regarding the best way to instigate the most effective systems for primary health care in this area and has been really active.

Lots of attention needs to be taken to make sure that all issues that are noted are addressed promptly, if you are assessing primary health care Perth plans. The goal of assessment should be redress and to recognize any issue that arises out of every one of of these problems. The function of government as well as other local authorities is essential for the success of the assessment of the plans. The comments of the sections is crucial for success and the entire assessment of the health care plans Perth, so they should never be failed.

Have you ever had a dream where you have been pursued or felt threatened? What kind of feelings did it leave you with? Did you feel frightened, frustrated, victimized? Ordinarily we call these dreams nightmares and deliberately devalue and ignore them. But in doing this work, Bob realized this dream provided him with an opportunity to change his stance. He wanted to break free of the loop of enslavement he had created by choosing to act with courage instead of reacting out of fear. Undoing the dream made this possible.

Reconstructing Bob’s Dream

In the first part of the Undoing process, Bob recognizes the dream as a mirror of his own anger, which reveals itself in the form of the angry mob. Next he does the opposite of running away and instead confronts this mob. Bob uses a technique where he closes his eyes, and after a brief breathing process, described later in “Create Your Own Dream Medicine,” he returns to the dream.

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He sees himself running from the mob. At this point, Bob comes to the edge of a rooftop. Here he stops and confronts the mob with the awareness that in imagination and dreams all things are possible. He now uses his will and intention and makes a turn, both figuratively and literally, that brings him face-to-face with his pursuers. To respond in this way is an act of faith, an Undoing of his fear. As he looks the leader in the eyes, he watches the anger dissolve, and in its place is a deep sadness.

The mob members become smaller, sinking down to the tar surface of the rooftop, and begin crying like children. At first Bob watches, then he embraces them. He feels as if something is cracking open inside himself in the region of his heart. As he does this, the anger vanishes. In its place is a feeling of acceptance — of the children and of their loss and grief. At the moment, this is enough. There is no need to fix it or to squelch the sadness as though it has no value.

Valuing the Shocks

Bob feels cleansed and relieved. Initially, he had feared a battle where he would either slay or be slain. By embracing the weeping children in the dream he has embraced the sad-child quality of himself. He admits to being shocked by what happened. According to Madame Colette Aboulker-Muscat, a renowned teacher of imagery and dream work, it’s just this shock that is necessary: it provokes a stress on the organism, which responds by trying to overcome the stress, thus generating movement and healing.

“We are transformed by our interaction with the environment.’’ And not all these interactions need be pleasurable to be rewarding. Since often we are unconscious, or at least so deeply asleep that any movement in our lives is negligible, we need these shocks to make healing and rejuvenation possible. After the dream reconstruction, Bob writes and draws this experience in his notebook, giving it a title, dating it, and signing his name at the end.

It’s not important for him to analyze his experience, to find out who made him sad, or to understand what his sadness means. Though this kind of psychological insight is interesting, too often it becomes a trap. It’s living out this experience in imagination that leads to his evolution and healing.

As Bob uses the exercise for the next 21 days, the process keeps changing. He has several different experiences along the way, both in his imagery and in his waking life. The children may cry or laugh; the night changes into day; the rooftop becomes a meadow, then leads him down to a river. And as he releases his long-held emotions of anger and sadness, he notices a change in his breathing as well.

It becomes freer, less constricted, and the asthma attacks start to grow further and further apart. This one experience can’t ensure that Bob will never feel angry or sad again; neither does it guarantee that his breathing will always be unrestricted. However, it does give him a technique that enables him to accept and integrate these feelings into his waking life.

Until 1998, effective pharmacotherapy of erectile dysfunction was limited to intracavernous self-injection therapy and transurethral therapy with alprostadil (MUSE™), the latter with clearly less efficacy. The approval of sildenafil marked a breakthrough in the conservative treatment of erectile dysfunction and revolutionized completely the management of this disease. With the availability of effective oral therapy, the management of erectile dysfunction became more and more an issue for the general or family practitioner, and meanwhile more than 70% of all Viagra™ prescriptions aremprovided by non-urologists. 

One major negative consequence of this development is that many physicians have given up any diagnostic screening in these patients, and are limiting their activities more or less to pure prescription of the medication. The urologist, who was for a long time the first referral for erectile dysfunction patients, should continue to underline his expertise in this field by providing a thorough diagnostic workup of patients comprising medical and sexual history, somatic examination, laboratory tests, including testosterone, prolactin and serum glucose, and intracavernosal pharmacotesting with 10–20 μg alprostadil combined with Doppler/ duplex sonography of the cavernous arteries.

In this connection, systolic peak flow velocities <25 cm/s are indicative of an arteriogenic etiology, and should prompt the urologist to refer the patient for a further cardiovascular screening, as a considerable subset of these patients are suffering from generalized atherosclerosis and therefore are at risk of coronary or cerebral artery disease.

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LIVING IN TUNE: UNDOING THROUGH THE POWER OF MUSIC

Just as dreams are legendary in their power to heal, so is music, which is the next and final part of the Undoing process. In the Old Testament and the I Ching, music was considered inspirational, sacred, and healing. The Greek philosopher Democritus wrote about the curative powers that emanate from the music of a simple flute. Indigenous cultures throughout the world have always used music to express the range of human emotion as well as mark rites and passages in a person’s life. Today, music still flourishes. The forms are endless: jazz, rock, rap, rhythm and blues, show tunes, folk, classical, liturgical, orchestral, operatic, and so on.

In The Mozart Effect, Don Campbell calls music the “common tongue’’ of the modern world and tells us it can replace costly medical treatments. This is not as far-fetched as it seems. Campbell’s own experience with healing a blood clot in his brain is part of some convincing proof he brings to bear. It’s nothing new to hear that “music hath charms that soothe….” It can also energize, excite, inflame, rejuvenate, and cleanse us; it inspires love, compassion, and faith. From Brahms’s “Lullaby’’ to the Rolling Stones’ “You Can’t Always Get What You Want,” music moves us in ways that words can never express. Talking about our disappointment, loneliness, or grief helps us vent, but it rarely gets us beyond our trouble, while the experience of listening to, playing, or creating music is genuinely therapeutic.

MUSIC TO BREATHE BY

Long before music was used as entertainment, it was used as a source of healing. Like your dreams and imagery, music embodies feelings and beliefs; moods, hopes, fears, and possibilities. When music speaks to you through a specific lyric or sound, it becomes part of you and infuses you with its power to illuminate and heal.

Create Your Own Top Twenty

Using music as a healing technique goes beyond just turning on the radio or slipping in your favorite CD and getting lost inside the sound pouring out of the speakers. When you listen to music as a reflection of where you are and what you are feeling in your life, it becomes an active, creative process. When you resonate with a particular piece, the next possibility is to tape it and to make it a part of your healing practice. To create your own top twenty, you may:

• Use pieces that you already know and love, that may already be a part of your music collection.
• Use music you find by listening to the radio or any other available source.
• Compose your own music and/or lyrics (or you may also compose lyrics for existing music).
• Listen to the tape you have made and make it a part of your life. Sing, dance, walk, run, cry, and laugh with it. Let it draw out your current feelings and open you up to new ones.

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THE ESSENTIALS OF UNDOING

It’s difficult enough to change your backhand in tennis, to start a new job, or just to negotiate a parallel parking space. Here you are being asked to Undo the way you think. Such a turn of mind is not for the faint of heart. When Marilyn, a thirty-three-year-old mother of twin girls, reached this point in the program, she likened it to giving birth — specifically to that moment during labor when she decided it was time to go home. “This was more than I had bargained for,” she said. “It was too much pain, too scary. I wanted to stop. Then maybe I would come back and try again when I felt rested and more in the mood. Getting to this place in the work felt the same,” she said. “It was like giving birth all over again — not to a baby, but to a new way of living life. And I had no idea of how it would turn out or if I could really do it.”

The stress Marilyn felt and that you may be feeling now is not the stress that we associate with exhaustion, helplessness, hopelessness, depressed immunity, and disease. It is, in fact, something known as “eustress” or good stress — stress that’s beneficial, that strengthens your immune system and physiology. By choosing not to retreat and to go on to Now Act, you get the chance to put into action much of what you have already learned. We shape and heal ourselves — our minds, our souls, our spirit — by taking action in the everyday world. Mere contemplation won’t do it for us. Through suggestions, exercises, and examples, chapter 8 provides the tools and opportunity to make that leap and to create a transformation in your health and in all areas of your life.

The Essentials of Undoing

1. Play with opposites. Reverse what you ordinarily think and do. Even if it feels uncomfortable, think, say, and do the opposite. If you habitually defer, take over; if you usually fault yourself, give yourself credit; if you are quiet as a mouse, roar like a lion.
2. Turn toward your difficulty. Undo your impulse to label events, feelings, symptoms, and so forth as “bad.” See what comes up for you as a challenge or opportunity instead of as a problem, and embrace it.
3. Value the shocks. Stop complaining about them. They can actually make you stronger and help you to grow.
4. Heal the past through the processes of imagery, writing, and dream work. Releasing grief, sadness, resentment, and anger makes room for joy. It’s good mind medicine for the lungs.
5. Live in tune. Use the power of music to attune yourself to life, to generate joy, and to support your body’s natural healing power.

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THE POISONS IN THE SOIL

Commercial farmers in the United States sprayed over 1.1 billion pounds — 2% of the world’s total pesticides — in 2007. There are 21,000 pesticide products containing 860 active ingredients. All are designed to kill living organisms, which is why the Environmental Protection Agency (EPA) prohibits claims that these chemicals are safe or nontoxic. The top ten pesticides applied in the agricultural market are glyphosate, atrazine, metolachlor-s, acetochlor, 2,4-dichlorophenoxyacetic acid and pendimethalin, plus the fumigants, metam sodium, dichloropropene, methyl bromide and chloropicrin.

These are neurotoxic and known to cause cancer, birth defects, reproductive anomalies, liver and kidney damage and even death. They also cause developmental and behavioral abnormalities as well as hormone and immune dysfunctions. The most documented pesticide is Agent Orange, a defoliant sprayed during the Vietnam War. Over 4.8 million Vietnamese were exposed to it leading to 400,000 deaths and disabilities, and half a million children born with birth defects. Monsanto is one of the manufacturers of Agent Orange, glyphosate and other herbicides.

Despite the toxicity of our farmlands, hope exists when we choose to consume foods grown organically and work with a holistic health care practitioner. A colleague of mine who is a licensed acupuncturist in Monterey County, CA, helped a 20-year-old man whose psychiatrist had diagnosed with bipolar disorder and prescribed an atypical antipsychotic drug for the management of symptoms. During my colleague’s nutritional evaluation of the man, he discovered he had organophosphate toxicity impacting his fore-brain, cerebrospinal fluid, thyroid and adrenal glands. His mother reported when he was ten, his father had him help apply pesticides for hours.

She remembered the incident vividly because he was hurrying to finish spraying so that he could attend a birthday party. Instead, syncopy, nausea and tremors sent him to the emergency room. The pesticides continued to impact this boy’s life for over ten years. His reported “behavioral problems”, including a brief brush with gang association, can perhaps be traced, in part, to that day. Fortunately, the acupuncturist provided an individualized nutritional program, including Dr. Lee’s whole food concentrates to support his parotid, liver and adrenal glands. In just six months, he had detoxified the organophosphates out of his body, his bipolar symptoms disappeared, and his psychiatrist removed the bipolar medications from his program. He and his family are very excited about how whole food nutrition has helped him start a new life, healthy and un-medicated. Each and every one of us can live such a life.

Food for Thought: Fatty acids are classified as saturated, polyunsaturated and monounsaturated. A saturated fatty acid contains a hydrogen atom at all available carbon bonds, which makes them highly stable. Your body makes saturated fatty acids and they are found higher in animal fats and tropical oils. Polyunsaturated fatty acids have two or more pairs of double bonds and, therefore, lack four or more hydrogen atoms. Polyunsaturated fatty acids include omega-6 and omega-3 fatty acids, the omega number indicating the position of the first double bond. Monounsaturated fatty acids like omega-9 and omega-7, lack two hydrogen atoms.

The polyunsaturated fatty acids, linoleic acid and alpha-linolenic acid, are considered essential fatty acids (EFA) because the body cannot produce them, so we must consume them from whole foods, like nuts, seeds and vegetables. Both of these must be converted in our bodies into longer chain fatty acids to serve a beneficial biological function. Alpha-linolenic acid converts into docosahexaenoic acid (DHA), eicosapentaenoic acid (EPA) and prostaglandin E3 (PG-E3). Between 50-60% of the dry weight of the adult brain is lipid, and 1/3 of these lipids are mostly DHA. Unfortunately, many of us are deficient in the nutrients and minerals required to convert linoleic and alpha-linolenic acids into the longer chain fatty acids. Tuna, krill, cala-mari, cod and many other fish and animals that eat alpha-linolenic acid containing foods will produce DHA, EPA and PG-E3. When we eat whole animal foods, we receive these longer chained polyunsaturated fatty acids and can benefit from them immediately, rather than rely on our own body’s resources and enzymes to produce them. While linoleic and alpha-linolenic acid are considered essential, it is more suitable for people who are clinically undernourished to eat both animal and plant sourced fats and oils.

The main differentiating factor between a fat and oil is the temperature that it becomes a solid (fat) or a liquid (oil). Animal fats such as butter, lard and tallow contain 40-60% saturated fat and are solid at room temperature. Vegetable oils, such as olive and peanut oil from northern climates, contain a majority of polyunsaturated fatty acids and are liquid at room temperature. Vegetable oils from the tropics, such as coconut and palm oil, are highly saturated. Coconut oil is liquid in the warmer tropics, but hard as butter in cooler locations. Plants must maintain additional stiffness in the hot climates of the tropics, so they naturally produce an increased proportion of saturated fatty acids.

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The anaejaculation

The man with anaejaculation, during the sexual intercourse with the partner, can maintain in erection for hours, which can induce multiple orgasms to the partner and super-satisfaction. The reaction of the partner toward an anaejac-ulator man is various: some enjoy this kind of man that induces them repeated orgasms until “status orgasmus”, even after the installation of this anaejaculation; sometimes, the partner that reached the maximum of satiety (taking advantage of the situation) can interrupt the sexual act.

It is known that a sexual act prolonged excessively produces to the partner painful sensations and then she gives up. There are also women which, frustrated by the perception of the spermatic jet of the anaejaculator, cannot reach orgasm. Plus, the anaejaculation into the vagina is a factor responsible for the sterility of the couple. Certain men with anaejaculation, not having even an orgasm, get in time to get bored, to lose their libido and to get even to secondary erectile impotence.

The etiology of the anaejaculation can be of organic nature (hyperglycemia, pithy lesions, urethral lesions that create obstacle, genital tuberculosis, prostate cancer that destroys the ejaculatory canals). It can appear as a complication post-surgical: vesical cervix resections, prostate adenomectomy on a high path; in these cases, we are talking about a retrograde ejaculation in the urinary bladder and not about a normal ejaculation.

The iatrogenic anaejaculation (medicinal) can appear after treatments, especially with benzodiazepines, antidopaminergics (chlorpromazine, haloperidol, tricycle antidepressants, B-blockers, alfa-blockers). The anaejaculation can be of psychogenic cause. In this case, the subjects are hyper-reactive, anxious or depressive; most of them present an asteno-vegetative neurosis. The treatment of the anaejaculation depends on the etiopathogenic form.

In the one of organic origin, it must be made urological explorations, neurological, endocrine, and metabolic and, once discovered the etiological factor, the appropriate treatment when it is possible. In psychogenic origin anaejaculation have been tried several medicines but few have a change of success. The antidepressants can be useful at person sick with depressive neurosis; sometimes, the sympathicotonics pay results, but the most efficient is dextroamphetamine, which can induce intra-vaginal ejaculations during coitus or through masturbation.

The amphetamines act by favoring the prevalent alpha-genetic tonus. It is taken into consideration also the prostigmine which because of the para-sympaticomimetic action shall favor the expulsion of the ejaculation.

Even by the most conservative geneticists’ standards, we have anywhere from 80% to 97% control over the expression of our genes. We have dormant genes for all sorts of things, both good and bad. A person is not just overweight because their mother and father were overweight. One is not destined to have a heart attack just because half the people in their family have had one; nor by the same token, diabetes or cancer.

Genetics can have some influence, but genes are turned on and off by regulatory genes that are mainly controlled by nutrients. A gene will not express itself unless the internal environment is conducive to its expression. So we have control over our genetic expression by the foods we choose to eat, the emotions we habitually experience, and the thoughts we consciously allow to govern our minds. We choose our lifestyle and that, in turn, impacts the expression of our genes.

We can also deliberately address the toxicity of our body’s internal environment. We all inherit our genetic code from our parents. While many physical features are genetically predetermined, they do little to define our health. The bad habits which we inherit impact us far more than we are willing to admit.

Learn to be the master of your own genetic destiny with the decisions you make each moment.

UPGRADING YOUR BODY

Many animals shed their fur (or molt) by completely losing their external skeleton to live a new life with a refreshed set of cells. My young niece was recently excited to share her science class project. She carried in a large glass aquarium, with multiple cocoons hanging inside. I was excited about her joy in biology and the continuous change that occurs in nature. She shared with me that in two weeks, their transformation into beautiful monarch butterflies would be complete.

We humans are the same. The healing body you have today is not the same one you had seven years ago. All cells replicate, die and are either removed from the body or dismantled into spare parts. For every cell that replicates, a newer one is born. This new cell has the potential to be stronger and healthier than its older twin, which will one day undergo apoptosis, an intrinsically timed cell death. In another few years, every cell, tissue and organ will belong to a completely new version of you.

Every cell in our body along with its components is totally replaced within nine months. Some cells have a faster turnover rate than others, but ALL cells are rejuvenated and replaced, even in our organs and endocrine glands. In the developing field of epigenetics, the biology of belief and behavior, we are learning more about how we live through our cells and can reach the full expression of our genetic potential. This becomes especially true when we live as our ancestors did in the hunter-gatherer days.

Love and Other Drugs, a film featuring Anne Hathaway and Jake Cyllenhaal, provides an amusing depiction of pharmaceutical sales reps. The first 20 minutes of this movie provide an unbelievably accurate portrayal on how I, along with my storm trooper drug representative colleagues, literally invaded doctors’ offices from the 1980s through 2002.

PHARMACEUTICAL SELLING

Drug representatives were allowed to invite medical doctors to musicals, sporting events and expensive dinners, all on the company dime. Many of the more aggressive drug reps would even purchase season passes to sporting events.

Pharmaceutical companies are known to have flown many medical doctors to Rome and other international travel destinations for two-week, all expenses paid vacations. In order to earn the trip, the doctor must achieve the status of highest prescriber for a particular drug. It makes me wonder what the difference is between an expensive gift and a bribe.

I entered the pharmaceutical industry in Canada website in the year 2001. In early 2002, Pharmaceutical Research and Manufacturers of America (PhRMA) passed new guidelines to prevent drug reps from engaging in extravagant entertainment, bribes and lavish gifts. Needless to say, medical doctors were saddened, though loopholes existed since PhRMA is a collective establishment of all the major pharmaceutical companies and . It makes me wonder if there is any irony that pharmaceutical companies manage the 3rd party organization responsible for regulating the ethics of their own sales and marketing practices.

From 2002 to 2006, I was allowed to provide medical doctors educational meals to present clinical data specific to the drugs I promoted. Technically, I was supposed to provide information regarding specific indications, safety profiles, drug-to-drug interactions and potential for withdrawal syndrome. I spent an average of $5.000 monthly, catering lunches to doctors’ offices and hosting dinners at 5-star restaurants for doctors and their significant others. When I asked my manager what my monthly budget limit was, her words were, “Spend until I tell you to stop.” She knew the more meals I scheduled with doctors, the more my Viagra Pills would be prescribed.

I was never told to stop, even after spending $10.000 one month. We ordered bottles of wine that exceeded $200 each, ate full course meals, and tasted novel desserts as grand finales to evenings of superficial rapport and witty banter. If the doctor had a pet dog, he ordered the organic, pasture raised pork chop to.

Despite the benefits, the pressures to meet sales goals were very high, requiring me to engage in a certain level of activity that was known to directly increase sales.

Alcohol – a Good Servant and a Bad Master

Alcohol is the most widely used and abused drug among Irish men and is a major risk factor for ill-health and premature death. Alcohol-related problems are epidemic in Irish society, as a weekend visit to an accident and emergency department in any Irish hospital will testify. Problems associated with drinking alcohol include increased numbers of accidents and injuries; increased violence; increased absenteeism from work; a risk of suffocation through choking on one’s own vomit; alcohol poisoning, which is potentially fatal; and an association with many physical and mental health disorders, including depression and suicide.

There is no doubt that some men drink more when they are under stress. However, using alcohol as a means to de-stress may only give temporary relief of symptoms, followed the next day by a worsening of the stress feelings – one step forwards and two steps back! Using alcohol as a stress buster can make you more likely to become dependent on alcohol.

There can undoubtedly be significant health and social benefits to low-dose alcohol, if drunk by the right person at the right time in the right amount. But it is very much a case of‘less is more’.

How to Calculate the Number of Units in a Drink

The system of‘units’ of alcohol in drink was thought up years ago as a means of estimating the amount of alcohol in different drinks so as to work out how much alcohol someone is consuming. The strength of drink is measured as ‘ABV, which means alcohol by volume.

The most accurate way to calculate the number of units in an alcoholic drink is to look at the percentage of alcohol by volume (% ABV) of a drink. This equals the number of units of alcohol in 1 litre of that drink. For example, wine with 12 per cent ABV has 12 units of alcohol in a litre of wine, so if you drink half a litre of wine (500 mls), which is four small glasses, then you have had 6 units of alcohol.

Ordinary strength beer, at 4 per cent ABV, has 4 units of alcohol in a litre, so if you drink half a litre, which is just under a pint, then you will have had 2 units of alcohol. Strong beer, at 6 per cent ABV, has 6 units in a litre, so a half litre of this equates to 3 units. So you can see that the number of units of alcohol can vary widely from beer to beer, depending on the ABV.

One unit of alcohol is about equal to:

• A half pint of ordinary strength beer (3-4% ABV) or
• A small pub measure of spirits (40% ABV) or
• A standard pub measure (50 mls) of sherry or port (20% ABV)

Calculating the number of units of alcohol in a drink isn’t rocket science and certainly doesn’t require a degree in maths.

Symptoms and Signs of an STI

If you are sexually active and notice any of the following symptoms, you should make an appointment to see your doctor as soon as possible:

• Pain or a burning sensation while urinating
• Pain during intercourse
• Itching or irritation in the genital area
• Any unusual discharge from your penis
• Pain or discomfort in the genital area
• A rash on the skin or genitals
• Soft, cauliflower-like bumps or blisters on genital areas
• Swollen glands, with or without sore throat and fever
• Red bumps that turn into painful blisters or sores on the penis, buttocks or thighs
• Severe fatigue, aches and pains, nausea and vomiting, loss of appetite, darkening of urine, abdominal tenderness, or yellowing of the skin and whites of the eyes (called jaundice)
• Unexplained weight loss, flu-like symptoms, persistent fevers, night sweats, headaches
• Blood in your urine or faeces

Remember, not all STIs have symptoms. Men often have no symptoms. Because of this fewer men seek treatment, and many are carriers without even knowing it. People who have no symptoms can still have an STI and can spread it to others.

Getting Tested

If you have symptoms that suggest an STI or if you have had unprotected sex, do not delay to get yourself checked out. This can be done confidentially by your own family doctor, or alternatively you can go to an STI clinic.

The sooner an STI is diagnosed and treated, the greater the chance of it being properly treated without complications. It is also important to alert your partner, as they need to be examined and treated if necessary. Diagnosis usually involves analysis of swabs taken from any unusual sores or discharge. In some cases a urine or blood test is also required. Do not be embarrassed; it is worse to live in ignorance than to put your own long-term health and that of your partner at risk.

STIs in Men – The Not So Good, the Bad and the Downright Ugly

• Genital warts
• Crabs (pubic lice)
• Chlamydia
• Gonorrhoea
• Syphilis
• Genital herpes
• Hepatitis B and C
• HIV/AIDS

Genital Warts

This is the most common STI in Ireland. Genital warts are caused by the human papillomavirus (HPV), which is a cousin of the virus that causes hand warts. Genital warts are highly contagious and can have a very long incubation period, meaning they may not appear for up to a year after exposure. Genital warts in themselves are not a serious infection in men but they may indicate the presence of other STIs, which must be screened for and appropriately treat-Infection with the human papillomavirus is the leading cause of cervical cancer in women. Therefore wearing a condom can not only protect you against acquiring sexually transmitted infections but can also potentially protect your partner against cervical cancer.

The sexual status examination (SSE) is the most important assessment tool at the clin-ician’s disposal and is most evocative of the “review of systems” common to all aspects of medicine. A focused SSE critically assists in understanding and identifying the immediate cause of the ED (i.e., the actual behavior and/or cognition causing or contrib-uting to the sexual disorder). The clinician focuses on finding potential physical and specific psychosocial factors relating to the disorder. The clinician pursues a description of the sexual symptom and the history of the sexual symptom in detail. All patients assessed for sexual difficulties should be screened briefly for concurrent psychopathol-ogy. This does not need to be in-depth pursuit, unless there is evidence of a significant psychiatric disorder.

If you wonder if you are eligible for Viagra Australia online therapy, it is always a good call to go see your doctor first. It may be andrologist, urologist or family doctor. Even if your diagnosis proves to be erectile dysfunction, your prescriber will have to make sure that you have no contraindicating conditions and no pharmacological incompatibilities, as well as confirm that ED of your etymology is corrigible by the use of sildenafil citrate. Viagra should not be used recreationally under any conditions.

Information about the onset and progression of symptoms as well as a detailed descrip-tion of the patient’s sexual symptom should be obtained. The physical and emotional cir-cumstances surrounding the onset of a difficulty are important for the assessment of both physical and psychological causes. If these details are not spontaneously offered, the clinician must elicit them. By juxtaposing detailed questions about the patient’s current sexual practices and history, an understanding of the causes of dysfunction and noncom-pliance can be unveiled.

A detailed analysis of the patient’s current sexual behavior and the couple’s erotic inter-action can help eliminate potential organic causes. Additionally, the sexual information evoked in SSEs helps anticipate noncompliance with medical and surgical interventions. Modifying immediate psychological factors may result in the need for less medication  Generally, urologists and PCPs intervene with pharmacotherapy and brief sexual coach-ing, which address immediate causes (e.g., insufficient stimulation) directly and inter-mediate issues (e.g., partner issues) indirectly and are rarely focused on deeper issues (e.g., sex abuse). In fact, a referral is usually appropriate when deeper psychosocial issues are primary.

Early in the SSE, a physician should obtain a description of a recent experience that incorporates the sexual symptom. One question helps elucidate many of the immediate and remote causes: “Tell me about your last sexual experience.” The clinician can quickly identify common immediate causes of ED from the patient’s response. Several frequently identified contributors to ED include insufficient stimulation (e.g., a lack of adequate friction), a lack of subjective feelings of arousal, fatigue, and negative thinking. Sex is fantasy and friction, mediated by frequency. To function sexually, men need sexy thoughts and not just adequate friction. Although fatigue is a common cause of sexual dys-function in our society, negative thinking/anti-fantasy is also a significant contributor.