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Male sexual dysfunction is one of the most common health problems affecting men and is more common with increasing age. Chronic ED affects about 5% of men in their 40s and 15-25% of men by the age of 65. Transient ED and inadequate erection affect as many as 50% of men between the ages of 40 and 70. In around 95% of the cases, a suitable treatment can be found. Erectile dysfunction is treatable at any age, and awareness of this fact has been growing. More men have been seeking help and returning to normal sexual activity because of improved, successful treatments for erectile dysfunction. Viagra, Levitra and Cialis Currently, there are three oral medications approved by the Food and Drug Administration (FDA) for the treatment of erectile dysfunction: sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). All these agents block the enzyme phosphodiesterase type 5 (PDE-5) and belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Viagra was the first and is probably the most famous of the three PDE-5 inhibitors used to treat erectile dysfunction. Viagra was approved as an effective agent for treating erectile dysfunction in March 27, 1998. Viagra is manufactured by Pfizer, Inc. Levitra was the second PDE-5 inhibitor to come to market in the United States, and it was approved by the FDA in August 19, 2003. Levitra is manufactured by Bayer Pharmaceuticals Corporation. Cialis was the third PDE-5 inhibitor to come to market and was approved by the FDA at the end of November 21, 2003. Cialis is manufactured by Lilly ICOS LLC. The major advantage of PDE-5 inhibitors is that they do not cause an erection at inappropriate times, because they act only in response to sexual stimulation. If there is no sexual stimulation drug remains in the background. All three are taken orally prior to planned sexual activity, acting to increase blood flow in the penis in response to sexual stimulation. However, there are important differences between the three, differences that could influence safety, specificity, duration of action, adverse effects, and ultimately, public acceptance within this class of drug. Mechanism of Action PDE-5 inhibitors do not directly cause an erection of the penis, but they alter the body's response to sexual stimulation by enhancing the effect of the nitric oxide, a chemical that is normally released during stimulation. Nitric oxide causes relaxation of the muscles in the penis, which allows for better blood flow to the penile area. Effectiveness of PDE-5 Inhibitors All 3 PDE-5 inhibitors have demonstrated excellent efficacy. Viagra, at 84%, is slightly more effective than Cialis at 81% and Levitra at 80%. Pharmaceutical Forms, Onset of Action and Duration of Effect Viagra and Levitra differ only minimally in terms of their structure, while Cialis differs markedly from Viagra and Levitra in terms of its molecular structure, which is also reflected in pharmacokinetic differences. Viagra: 25 mg, 50 mg 100 mg tablets Onset of action: 30 minutes (effect delayed if taken with food) Duration of action: 4 to 5 hours Levitra: 2.5 mg, 5 mg, 10 mg, 20 mg tablets Onset of action: 25 minutes (effect delayed by fatty meal) Duration of action: 4 to 5 hours Cialis: 5 mg, 10 mg, 20 mg tablets Onset of action: 16-45 minutes (effect NOT delayed by food) Duration of action: 36 hours All three drugs require sexual stimulation to be effective. Viagra should be taken on an empty stomach it works better if you do not eat a high-fat meal around the time you take it. Levitra may be slightly less effective if you eat a high-fat meal, but a moderate-fat meal does not reduce its effectiveness. Cialis works without regard to what you eat. Viagra and Levitra have similar half-lives, and onset and duration of action. Cialis has a slower onset of action and longer duration of action, which is attributed to its longer half-life. Patients who wish for spontaneity may opt for Cialis, which may allow for successful intercourse up to 36 hours postdose, even though it takes longer to reach peak effect. The considerably longer duration of effect for Cialis will likely allow less frequent dosing and greater impulsiveness between partners, but also could potentially prolong adverse effects. Dosage The recommended dose for Viagra is 50 mg, and the physician may adjust this dose to 100 mg or 25 mg, depending on the patient. The recommended dose for either Levitra or Cialis is 10 mg, and the physician may adjust this dose to 20 mg if 10 mg is insufficient. A lower dose of 5 mg is available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. Levitra is also available in a 2.5 mg dose. None of these PDE-5 inhibitors should be used more than once a day. Possible Side Effects Although all three drugs are generally well tolerated, side effects are still possible. Most common side effects: Viagra: facial flushing, headache, indigestion Levitra: facial flushing, headache Cialis: headache, indigestion Less Common Side Effects: Viagra: altered vision, dizziness, nasal, congestion Levitra: indigestion, nausea, dizziness, nasal congestion Cialis: back pain, muscle aches, nasal congestion, facial flushing, dizziness Precautions and Contraindications All PDE-5 inhibitors are absolutely contraindicated in persons who take organic nitrates. Alpha-blockers Viagra has precautionary labeling advising against taking 50 mg or 100 mg doses within four hours of taking a alpha-blocker. The 25 mg dose of Viagra has not been shown to significantly decrease blood pressure and in patients who take 25 mg of Viagra, use of any of the alpha-blockers is considered safe. Levitra is contraindicated in patients taking alpha-blockers. Cialis is contraindicated in patients taking alpha-blockers, except for tamsulosin (Flomax). Since both Viagra and Levitra have moderate vasodilatory and hypotensive effects, they should not be given in the presence of marked arterial or orthostatic hypotension, and should only be administered with caution in aortic stenosis or hypertrophic obstructive cardiomyopathy. Men who have had a heart attack or stroke within the past 6 months and those with certain medical conditions (e.g., uncontrolled high blood pressure, severe low blood pressure or liver disease, unstable angina) that make sexual activity inadvisable should not take Cialis. Dosages of the drug should be limited in patients with kidney or liver disorders. Conclusions The differences between the 3 drugs are not great. All appear to be effective and safe. Levitra has less side effects compared to Viagra and lasts about the same time as Viagra in the body. Cialis has few side effects and lasts longer in the body. This allows increased spontaneity and less frequent dosing than either Levitra or Viagra. However, the longer half-life of Cialis imposes increased risk for drug interactions. penis enargement excersizes natural penis enlargment and lengthening penile enlargement forum sex vig rx vimax penis enlargement operation vimax prosolution penis enlargement pills do pnis enlargement pills really work cheap penis enargement herbal penis elargement
22 March, l968 As it turned out, Johnny would visit Jill’s room off and on during the following weeks. And that strange woman that left the Belmont’s room brought along another woman, and on occasion, he’d catch her on her way down the steps and invite her into his room, although she’d had preferred ‘Jill,’ so she said. Tasma was not aware of most of this, but a little. Also, she had received at this time several letters from home by her parents, in particular her father, but she did not respond back. She was not certain what to say, she loved them, and Jill assured them she was fine, but it was too stressful for her to talk or write them. She did have a profound desire to please her father, and wishful thinking to please her mother, but it seemed she needed to learn how to please herself first, and to Jill, she did not blame them for anything, not anymore anyway. And had she started a communicational dialogue, they may have persuaded her to return, the one thing she did not want at this time. —Jill was in the kitchen—the ironing board was pulled out from an inner-cabinet built into the wall, a wall-unite if you will, it was kept snugly in, in which there was a door attached to it; Jill was ironing Tommy and Johnny’s cloths, another lover circle had stared. Both were arranged in separate piles. Mrs. Belmont was sitting at the table talking seriously to her; it was most unusual thought Tasma, for seldom did she see Mrs. Belmont other than at the bar talking to Jill. As Tasma neared them to join them, the subject—whatever it was—changed, and what appeared on Mrs. Belmont’s face was an un-cheerful smile, not unusual, but quite sudden, and it was apparent. Consequently, feeling a little awkward she left the kitchen to work on her diary-novel (some poems), in the living room in her usual spot; in effect, she could overhear bits and pieces now of their conversation. It didn’t occur to her to get up and leave, rather the opposite; she actually pretended to be busy writing and was simply drawing a picture undiscernibly. “It’s been going on for a while mom, I didn’t think it was, I mean it would end up like this.” “Get rid of him, or all of them.” “No, no, I don’t think Johnny will go so easy. He likes me, and thinks he can have me, and he has me of course.” “What about Tommy?” “I like him, I like him a lot, but that’s the problem, I don’t love him, I just like him.” “He’s what you need though. He’s more anchored.” [With scorn] “What the hell does anchored mean!” said Jill. “Ok, ok, I could have used a better term, Tommy likes to work and go to school, he’ll be somebody someday.” “Tommy doesn’t pay you a dime; Johnny does and Johnny works hard.” “Yes, he works hard all right, hard at drinking, screwing you and god knows who else—smoking that weed.” “So Tommy was screwing me and working.” “You’re going to lose him to that cousin of yours if you don’t hang on to him.” “Tasma,” she looked at Tasma reading, “you got to be kidding, she’s as naïve as a sparrow.” “So you say: does a pineapple come from a pine tree?” “No,” said Jill apprehensive, “now what does that mean?” “She’s not the little girl she was three, four months ago, or is it five or more? She has a good shape, and pretty face, and if Tommy can’t see it, I can. And so can a lot of men at the bar. Anyhow, Tasma is not the issue, Johnny and Tommy are.” (A long pause came, then with a cracking voice, and an almost whisper, she leaned over to her mother, and Tasma leaned over the arm of her chair): “I think I’m pregnant…” “Ay caramba,” she said in a sigh that slurred all the way to Tasma’s ears, “…now what?” “It’s Johnny’s, not Tommy’s, Tommy uses a rubber, and Johnny thinks it is not manly to do so.” It was momentarily hard for Jill to look her mother in the face; she was at this time, pacing the floor in a small circle as her mother followed her with her eyes. “Listen Jill, Johnny’s drinking with all the gang members at the bar, and he’s gambling, it’s just a matter of time before he gets in trouble with them.” (Some of the gang members had motorcycles, others cars, it was somewhat an unofficial bunch of criminals, in that they were but twenty of them that hung out at a number of bars). 23 Shan’t be a Minute Tasma found herself walking upstairs to her room, it was quieter in the kitchen, and figured, she had heard enough, a voice said, “Where are you going?” it was Jill, polite but to the point. “Shan’t be a moment,” was her answer. She wanted to tuck away her diary-novel, she had written some exposing things in it. And so she tucked away, under her pillow, as if it was safe, and her place was off limits to others, which in presumption it seemed to be. For the most part, she did not want to leave it laying about for someone to pick up accidentally. Life had seemed uncomplicated she thought, and now with Jill’s mother it seemed somewhat speculative, if not downright disjointed. It had now crossed her mind Tommy would find out the secret, the secret being Johnny’s behavior and her being pregnant, or so she said she was, and ‘I know about it,’ she felt as if she was a betrayer, be it to Jill or Tommy, or even Johnny. Down the stairway, into the living room she went. She looked outside through the bay-window and there was Mrs. Alice Whitehead getting into the car, she looked at Tasma, Tasma waved at her, she was a nice old lady, and it always seemed to her she had concern on her face for her. As she turned around looking towards the kitchen she noticed Mrs. Belmont sorting out bills: ‘I suppose she’s done talking to Jill now,’ was her thinking. “I talked to your mother a few days ago Tasma, she’s doing well and I told her likewise, you were doing well.” Tasma simply made a polite gesture, no verbal adjectives. “I want to do something today, a surprise, come with me,” asked Tasma, for some odd reason something had popped into her head. “What, may I ask, is on that devious mind of yours?” laughed Jill. —Tasma and Jill were gone for several hours, and arrived back home at about 6:00 PM. Johnny and Tommy were sitting in the living room watching TV. As they both walked into the house, both the boys were somewhat taken back a bit at Tasma’s appearance—if not down right, star-struck. Her long reddish hair was cut to where it reached only the nape of her neck. And she was wearing more makeup than she had before, the result: she looked a little fresher and less school-girlish, than before. Thought Tommy, ‘…before she seemed more delicate and fragile..,’ as he glanced at the poise she displayed as she smiled and stood in the middle of the room awaiting the verdict of the two young throbbing hearts, the heart breakers themselves. Johnny noticed her slender bones, and her nicely shaped neck was more defined (front and back). Tommy for some reason noticed her neatly-set breasts, small as they were—just above her small waist they were a hand full no more. Yet her slyness somewhat removed, still left her with a harmless effect. Her nervousness was repressed for the most part. Along with all that, with all the money she had saved up, she also purchased some bath salts, talcum powder and a small mirror, which she duplicated for Jill as a gift for allowing her to stay. She had spent her $100-dollars she had saved. For some odd reason, Tasma had glanced back into the kitchen, expecting to see Mrs. Belmont, but of course was not surprised when she was not there, she usually would go to the bar around this time, either she had missed her, or she was in her room preparing to go. The boys looked at one another in jest, and laughed. Said Johnny with his normal side joking way, “So now you’ve grown up, welcome to the real world kid, looks like you’re willing to join us.” Tasma knew Johnny’s ways and knew that was better left alone. “It makes you feel good,” commented Jill; meaning spending money on oneself for preservation purposes, or simply for a change in one’s life. But there was concern in Jill’s unseen eyes, in her cerebellum. She was no psychologist, like Skinner or Pavlov with his salivating dogs (who worked on association), but the boys were kind of salivating, restlessly slobbering might be a better way of putting it, if not downright uneasy, with this new Tasma look. Everyone had gone to bed now, it was Jill’s turn to sit downstairs in the sofa-chair for once, wondering, thinking, not sure of her next move. ‘I just don’t get it,’ she asked herself, ‘why am I so attracted to Johnny, and going with Tommy? Tasma wouldn’t have the answer even if I asked her, nor mom, facts are facts, feelings are feelings, I don’t sense they are neither right or wrong, they just are. Johnny makes love as if he was a mad man and seems almost barbaric, and I think of him when I make love to Tommy—it’s just unthinkable. I wonder how Tommy’s new book will turn out. Can you love two people at once, at one time? A good question; I think I do, or maybe it is lust, how do I know, I’m just…(pause) will be nineteen in a month. Mom said: love is a choice. I say love is a feeling. I wonder what Tasma would say. I know Tommy feels love through his penis, like Johnny, all men do, kind of, sort of—most of the time; but Tommy is more willing to be dedicated, I think. I have learned men are attracted by looking, but I like touch.’ On her way to her bedroom, she stopped at Tasma’s room, knocked lightly, “Can I come in just for a moment?” she asked. “Why sure you can,” answered Tasma with a thoughtful voice. “I had a great day with you today, and thanks again for the things you bought me (this was a good lead-in she thought to bait her for a question to be soon asked), but I have a question, somehow I think you’re going to oversimplify the answer but I’ll ask it anyhow. How do you know if you’re in love with a person?” Surprisingly, Tasma answered Jill with foreknowledge, “You mean you are having a hard time trying to figure who you want, Tommy or Johnny?” (A tight look went over Jill’s face.) “Yes, yes, that is where I’m coming from; I didn’t know it was so obvious.” “It’s becoming obvious Jill, it was the first day Johnny came through the door, and it has progressively taken a greater shape to it. But in regards to your answer, I’ve never been in love so I might be the wrong person to ask, but I do know this, as simple as it may be: if I wanted to go out with Johnny, I couldn’t be in love with Tommy—that much. I mean, I’d think whoever you were in love with—you’d not want to go out with anyone else; you’d kind of want to stop shopping around for another person, or so I believe. If I was to get married, I’d not want to go out with anyone else: and if I did, I’d know that I was not ready for marriage, to him or anyone, if that makes any sense.” But to Jill it made all the sense in the world. She was sleeping with Tommy at night, and wanted to be with Johnny. “What do you think I should do?” asked Jill. “I think you already know; I don’t think I need to say anymore. My heart is with you, no matter what the outcome is.” Then Tasma hugged her tightly. 24 Reset As the next two weeks passed a kind of silence took over the house, people talked less to one another, I suppose you could say, Jill was the life of the house, and now she was deep in thought. Everyone tried to keep busy and pretend things were normal, but they of course knew they were not. The Belmont’s kept their normal schedule, and the pretense lingered. Tasma had finished up with Tommy’s book on San Francisco, and had explained to him how she liked the ending of ‘Bustling,’ by his fake name Colleen Grant; she commented to Tommy: “The younger woman fell in love with the older man, but she had psychological issues, and she was too fragile for him to care for her emotional illness, and he was too sick biologically for her to care for him. It was a sad ending I thought, but had they married: love would not have been enough, as they wished, they’d both had ruined the life of the other. Yet they remained friends as they parted, matter of fact they remained friends until he died at the age of eighty-years old, and her, at eighty-two.” She then read a poem she was working on for him: “I haven’t put it in my book or diary yet, but here it is I’ll read it to you from the paper (Tommy sat inquisitively on the edge of her bed): The Maiden from Seattle When she walked into the light The door to life, grew black as Night, And her earth began to swell (This youthful beauty of Seattle); At first glance— Fell this youth from high Aching to touch the morning sky. Who dare take this maiden’s hand? To help her though this silent land! Ah! From hair, to heart, to breast: Like faded flowers in the ground Fleshless alms, could not be found, And so she remains—bound! Said Tommy in surprise, “I like it, I think a little or maybe a lot of you is in the poem; I think you’re going to be a Mrs. Plath, or Dickinson some day.” —The following day Tommy had come into Tasma’s room unexpectantly, “Are you still writing your story?” he asked. She looked at Tommy, “Just some poems, and dairy notes, really haven’t gotten into the plot or theme of anything in particular yet; not sure how to get it going.” “Let me see, maybe I can help you” he said. Yet Tasma was still bewildered of his rudeness to just kind of enter at will; she liked him and didn’t want to scare him away, on the other hand, she was not going to join any love-circle. She leaped quickly to her pillow, then it dawned on her, she had much information in it about Johnny, Jill, Tommy and, none other but the: The Lady in Black, as she referred to her in the diary. But had she not jumped, she thought afterwards, had she not jumped she’d had not given away her hiding place, although it was no vault for sure—I mean, a mouse could have found it had it looked for it. “I, I have too many personal things in it, private things, I’d rather you not see,” said Tasma as she currently held the book in the middle of her chest; as she got off the bed with her one knee, fully turning about now, she tripped on her shoe and the book fell, Tommy quickly grabbed it and opened it. Tasma saw him reading it, and needed to do something quick, she grabbed it out of his hands and jumped on the bed, her dress flying above her waist showing her underwear and all. Somehow Tommy found the child in him, and jumped on her bed trying to grab the diary from her as they rolled around in the bed; now Tommy hovering over her, his legs between hers. “What are you two up to?” questioned a voice in the background, it was Jill: she had heard the ruckus. “My fault, I was trying to get her diary from her, I started to read something quite interesting,” he looked at Jill halfheartedly. Had he gone back any farther, thought Tasma: The Lady in Black was there. Jill looked at Tasma in an indefatigably way, “I see I wasn’t invited to the party—”and slipped off to her bedroom where she just looked out the window aimlessly. In a way it didn’t bother her about what she’d seen, but on the other hand, she was jealous. When Tommy left the bedroom to join Jill he didn’t know whose child it was; he had only read up to ‘I overheard her say to her mother she was pregnant today by….” He could not ask Tasma to betray Jill, it would be too much to ask, if anything, Jill might be betraying him, it was indicative of her. —In the following days, Tasma noticed Tommy and Jill fought quite a lot; and Tommy was not a person to be irritated easily, it must be that she was leading Tommy to believe it could be his child, Tasma thought. Then one evening she noticed Tommy sleeping on the coach, and Johnny still remaining in his bedroom. During this interval, Johnny entertained himself in his bedroom, hoping Tommy and Jill would sort things out—thus he remained in kind of a queue, waiting for Jill’s signal to return, somehow he had come to that conclusion she would. He found himself pacing the floor at night, saying, ‘I wish, whatsitsname, would…’ and never ended the sentence. —I must make this awkward at this point, his mind broke off the subject of Jill and Tommy after the first week, his insides became external. He looked at himself, pretending he was not feeling this serge; he had not guessed at this until it engulfed him, there was stern on his face—and, toil in his hand. A cold shower might work he thought, but it was too far away. He felt he was on a fast run; he hardened his body like a weightlifter, a boxer ready to take a punch. This lasted two weeks, finally an agreement came about, Jill would sleep with Johnny, and Tommy would sleep in Johnny’s room, and in due time Tommy would have to leave, approximately in a few months, considering once she started to show it would only provoke issues within the household, or so she felt. The real problem was that Johnny did not have the heart to tell Jill he liked the way things were, and he really liked Lorie to a higher degree. He wanted his sex, but could find it elsewhere if need be, now he’d have to resort to living in her bedroom, and his alone time would be altered. In addition, Lorie was somewhat out of the picture for he had not seen her in weeks as he waited for this all to settle, but he’d see her again is what he was planning. Again, everything seemed in the air now. But to resist the plan would be too premature at the moment he deliberated out. In spite of the tension, things appeared to move about on a regular base for a few more weeks. However, Johnny was starting to hang out with the gang more often now, with their motorcycles, and customized old cars. He was doing a lot more drinking and gambling with the gang members. They had even stopped on a few occasions at Jill’s house looking for Johnny, taking pains to find him, going out of their way it would seem. It came to her attention; Johnny owed them money, how much it wasn’t said (but it was close to $6,000-dollars). They’d not go to his work; it was one thing the groups forbid: that being, to endanger a man’s livelihood was not being a man at all. They could do almost anything else, even kill you, but not jeopardize your job: that was considered a low blow. Out of nervousness, Tasma started to keep her distance from the group at the bar, if she could, she would have vanished into thin air. vimax manual penis enlargement penis enlargement product penis enlargment excersizes plastic surgery penis elargement penis enlarement before and after vimax patch pennis enlargement procedure best enargement exercise penis herbal penis elargement
Diabetic frozen shoulder is a major problem. The pain and limited function that it causes can seriously limit the normal activities of day-to-day life. Frozen shoulder is much more common in diabetic patients and this article aims to explore the nature of the Frozen Shoulder – Diabetes connection. There are many ways that diabetes can affect the muscles and joints. Sugar sticks to the collagen in cells and affects its ability to function. Diabetes can damage blood vessels and a poor blood supply results in scarring and damage in the body's elastic tissues. We know that some diabetic patients can have problems with changes in the gristle of their hands - and in men, the penis. Most experts think that diabetic frozen shoulder arises for the same reasons Diabetes is known to affect the shoulder in several ways. Diabetic frozen shoulder seems to be the commonest - with up to 20% of diabetic patients developing frozen shoulder at some time or other. Calcium spots in the tendons and muscle around the shoulder are also seen more commonly in diabetic patients - this probably relates to the fact that high blood sugars can impair blood flow through small vessels. Tendons are particularly vulnerable to this and respond by depositing calcium. These calcium deposits can sometimes be painless but often cause severe discomfort or limited movement. They usually show up on x-rays. Slow healing and impaired nerve function are also common in diabetic patients and contribute to the fact that the frozen shoulder pain takes longer to settle than it does in other, non diabetic, patients. Diabetic patients are much more likely to have problems with their shoulders than others. Insulin dependant diabetics are particularly at risk - with some studies showing that they are six times more likely to develop diabetic frozen shoulder than the rest of the population. We don’t yet really know why diabetic frozen shoulder problems arise but it seems to relate in part to how well each individual controls their blood sugar levels. Textbooks tell you that all shoulder complaints are more common in diabetes but in my experience diabetic frozen shoulder is the most troublesome and most frequent. Diabetics not only get frozen shoulder more often than others but it lasts longer and is more painful for them when they do. Some experts think that shoulder problems in diabetics are so common that they should be regarded as a complication of diabetes and not a coincidental event. There has been a lot of research recently into the frozen shoulder – diabetes link but it is still rather unclear why diabetic patients get such problems with their shoulders. It seems to relate to the effect that diabetes and a high blood sugar has on the collagen containing cells in the body. Collagen is a protein that is involved in making ligaments, tendons and - of course - joint capsules. Diabetic frozen shoulder eventually resolves itself in most cases but can cause a major problem with day to day function for those unlucky enough to suffer from it. free penis enlagement exercise pnis enlargement forum herbal penis enhancement pills natural pennis enlargement exercise top rated penis elargement pills vig rx review herbal natural penis enlargment penis enargement traction device herbal penis elargement
1. WHAT ARE SEXUALLY TRANSMITTED DISEASES (STDS)? Sexually transmitted diseases are diseases that can be passed from person to person through sexual contact. In this case sexual contact means penis-vagina penetration, oral sex which is sexual contact using the mouth, and insertion of the penis into the rectum which is anal sex. Some of these diseases may be transmitted by exchange of sexual fluids such as semen or vaginal discharge. Some of the STD's result in open sores, and it can be spread by contact with skin of someone else. There are also ways to transmit these diseases in a non sexual way, an infected pregnant woman can either give it to her baby during pregnancy, or when the baby is being delivered. Drug abusers can transmit the disease through sharing hypodermic needles that have been used by an infected person. The seriousness of STD's varies, some are cured easily by drugs, others need a combination of treatments and drugs, whilst others have no cure, and the only option is treatment. 2. WHAT ARE SEXUALLY TRANSMITTED IINFECTIONS (STI's)? Any infection that is usually passed through sexual contact. 3. ARE THE TWO WORDS INTERCHANGEABLE? Fifteen years ago both these categories came under one name Venereal Disease (VD). To distinguish between them they were separated into infections (STI) and diseases(STD). Infection means that a germ, bacteria, parasite or virus is present in the body. An infected person does not necessarily have any symptoms, which means that they do not usually feel ill..A disease is any abnormal condition of the body or mind that causes discomfort, dysfunction, or distress, in other words your body tells you that you are unwell. This means that STI covers a wider range than the term STD. STD refers only to infections that are causing problems. Because most of the time, people don't know they are infected with an STI until they start showing symptoms of disease, the AIDS Resource Center uses the term STD, even though the term STI is also appropriate in many cases. Let's see if we can simply un-muddy the waters here. Genital herpes has two states when the blisters are present and when they are absent. When they are present they are causing symptoms, ie the blisters, at this stage it is an STD, and it is that this stage that the infection is most likely to be spread to another person.When the blisters are absent then there are no symptoms, and this is then an STI, and the likelihood of an infection is reduced. However HIV can be an infection, in the sense that there may be no symptoms, when they develop symptoms then they have AIDS which is an STD. However it is important to remember that HIV infection can be spread at any time. 4.WHAT IS THE RELATIONSHIP BETWEEN STD'S AND HIV? A person who is already infected with STD, has a higher risk of contracting HIV if they have unprotected sex, without a condom. This risk is greater if the STD causes open genital sores, as these wounds provide a break in the skin which enables the HIV infection to enter the blood stream. STDs that can cause genital ulcers include genital herpes, syphilis, chancre, gonorrhoea, trichomoniasis, and scabies. 5.WHY IS IT DIFFICULT TO RECOGNIZE THAT YOU MAY HAVE A STD? First of all the majority of the people with STD have no immediate symptoms and when they do have them it can be misleading to diagnose as the symptoms can be confused with non sexual diseases. Please note that this applies much more to women than men. 6. WHAT ARE THE MOST COMMON SYMPTOMS FOR WOMEN WHEN THEY ARE SUFFERING FROM AN STD? unusual or bad-smelling vaginal discharge, severe itching or burning in the genital area, unusual bleeding, pain in the pelvic region, pain during sex, rashes on the genitals, open sores or warts on the genital area, and/or recurrent urinary tract infections. 7. WHAT ARE THE MOST COMMON SYMPTOMS FOR MEN WHEN THEY ARE SUFFERING FROM AN STD? In men, the most common symptoms of STD are: pain when urinating, open sores or warts on the genital are genital rash discharge from the penis, and/or pain in the scrotum/testicles. 8. WHAT ARE THE OTHER SYMPTOMS NOT CONNECTED TO THE GENITALS? The following symptoms are present in both men and women: discharge from the anus, swelling of the groin, jaundice (yellowing of the skin and whites of the eyes), oral thrush (white tongue), arthritis, sores or bumps in and around the mouth, and generalized rashes. 9 CAN I CONTRACT STI AS A RESULT OF MUTUAL MASTERBATION? Yes you can and listed below are some examples: Bacterial Vaginosis Cytomegalovirus (CMV) Herpes Simplex Human Papilloma Virus (HPV, Warts) Pubic Lice Scabies 10. CAN I PREVENT GETTING STI or STD? The only foolproof way is abstinence from sex. A condom merely reduces the risk, and it must be used every time, before any sexual fluids are exchanged.