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We are now 4Rx-Online to all our customers who knew us as XLPharmacy Blog for many years.  4Rx-Online has more medications at much lower prices. Our health articles and newsletters will still be published about today's health care as health issues are as important to us as they are to you, including which Pharmacy to place your trust for your medications.

| Issue # September 2009 [Return to Main Page] |
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 Diagnosing Erectile Dysfunction

Medical and sexual histories help define the degree and nature of ED. A medical history can disclose diseases that lead to ED, while a simple recounting of sexual activity might distinguish among problems with sexual desire, erection, ejaculation, or orgasm.

Using certain prescription or illegal drugs can suggest a chemical cause, since drug effects account for 25 percent of ED cases. Cutting back on or substituting certain medications can often alleviate the problem.

Physical Examination

A physical examination can give clues to systemic problems. For example, if the penis is not sensitive to touching, a problem in the nervous system may be the cause. Abnormal secondary sex characteristics, such as hair pattern or breast enlargement, can point to hormonal problems, which would mean that the endocrine system is involved. The examiner might discover a circulatory problem by observing decreased pulses in the wrist or ankles. And unusual characteristics of the penis itself could suggest the source of the problem—for example, a penis that bends or curves when erect could be the result of Peyronie's disease.

Laboratory Tests

Several laboratory tests can help diagnose ED. Tests for systemic diseases include blood counts, urinalysis, lipid profile, and measurements of creatinine and liver enzymes. Measuring the amount of free testosterone in the blood can yield information about problems with the endocrine system and is indicated especially in patients with decreased sexual desire.

Other Tests

Monitoring erections that occur during sleep (nocturnal penile tumescence) can help rule out certain psychological causes of ED. Healthy men have involuntary erections during sleep. If nocturnal erections do not occur, then ED is likely to have a physical rather than psychological cause. Tests of nocturnal erections are not completely reliable, however. Scientists have not standardized such tests and have not determined when they should be applied for best results.

Psychosocial Examination

A psychosocial examination, using an interview and a questionnaire, reveals psychological factors. A man's sexual partner may also be interviewed to determine expectations and perceptions during sexual intercourse.

 
 More Help for Erectile Dysfunction

 

American Urological Association (AUA)
1000 Corporate Boulevard
Linthicum, MD 21090
Phone: 1–866–RING–AUA (746–4282) or 410–689–3700
Fax: 410–689–3800
Email: aua@auanet.org
Internet: www.auanet.org
www.urologyhealth.org

AUA can refer you to a urologist in your area.

American Diabetes Association (ADA)
Attn: National Call Center
1701 North Beauregard Street
Alexandria, VA 22311
Phone: 1–800–DIABETES (342–2383)
Internet: www.diabetes.org

ADA can help you find a doctor who specializes in diabetes care in your area.

American Association of Sex Educators, Counselors, and Therapists (AASECT)
P.O. Box 1960
Ashland, VA 23005–1960
Phone: 804–752–0026
Fax: 804–752–0056
Internet: www.aasect.org

Check the AASECT website to find a certified sexuality educator, counselor, or therapist in your area.

 
Migraines and Brain Lesions

 

Migraine Aura Linked to Brain Lesions


Migraines story at 4RX Blog
 

Migraine headaches that 1 in 10 women endures may inflict long-term damage to a part of the brain important to coordination and the senses, researchers say.

Lesions in the brain's cerebellum were prevalent in nearly one-quarter of older women who had battled migraine headaches during middle age that were accompanied by an "aura," the researchers said in a report published Tuesday in the Journal of the American Medical Association.

The aura is experienced as flashing lights, zigzag lines or loss of vision before the debilitating headaches strike. More than 10 percent of women experience the aura, and another 7 percent have migraines without an aura.

Migraines afflict three times as many women as men, and there is no increased frequency of lesions discovered in the men who endure migraines. There also was no increase in lesions among women who experience migraines without the aura.

The lesions appeared in the cerebellum, which is at the base of the brain and is key to motor coordination and to integrating information gathered by the senses.

Migraines generally have been thought not to have a lasting impact on the brain, according to the report. But recent research has shown migraines may be caused by interrupted blood flow to the brain.

Such stroke-like interruptions in blood flow also may lead to lesions' forming on the aging brain, said the study, a joint effort of U.S. researchers from the Uniformed Services University, in Bethesda, Md., and the National Institute on Aging, along with the Icelandic Heart Association in Reykjavik.

The study monitored the health of nearly 5,000 Icelanders for 26 years, and 23 percent of women who suffered migraines with an aura had a prevalence of lesions nearly three decades later, about double the percentage of women who were free of migraines.

The study did not determine whether the women with lesions suffered problems with their faculties.

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Featured Article:

 

 

 

10 Things you Should Know About Swine Flu

 

 

The Latest on Swine Flu at XLPharmacy Blog

 

Read here...

 

 

 

New Stories Added all month Long...

In This Issue...

 

 

Introduction

   Why XLPharmacy Blog and News

 

Featured Stories

   Genital Herpes Treatments

   Premature Ejaculation

   Diagnosing Erectile Dysfunction

 

Current Month Stories

   Popcorn May Prevent Cancer

   Vitamin D and Diabetes

   Protect Yourself from Radiation

  10 Things to Know About Swine Flu

   Packing your Childs Lunch

   Migraines and Brain Lesions

 

Health Links & Videos

   Helpful Links and Videos

   Herpes

   Erectile Dysfunction

   Contact Info for ED Help

 

Healthy Recipe of the Month

   New York Breakfast

   

Monthly Newsletter Archives

 

Feedback from visitors

 

Questions, Answers, Notes

Introduction

Welcome to the newly redesigned 4RX Health Blog.  In each issue 4RX Health Blog provides a wealth of up-to-date medical news we hope you find helpful and informational. At XLPharmacy we care about you and your family and we believe that everyone should have fast and reliable access to affordable high quality medications in order to maintain a healthy lifestyle. Staying in touch with the latest in health news is only part of what we do.   4RX Health Blog will discuss everything from Medicare to Social Security, Cancer to New Cancer tests, Erectile Dysfunction and Medications like Viagra with Sexual Health, Smoking to Mental Health and so much more...
Featured Article - Genital Herpes Treatments

Genital Herpes Treatments

Herpes Story at 4RX BlogGenital herpes is an incurable condition that has inflicted mankind since ancient times and being a virus, it has no cure. The herpes simplex virus that causes this problem spreads via sexual contact. It is believed that the herpes virus is found in over 50% of the US population and is spreading fast.

Our aim is to help stop or at least, slow the spread of this virus by giving you the information and knowledge you need to control the virus and to live a normal life if you have been infected with the virus. NOTE: It is not the end of your life, especially the bedroom part of your life, if you have contracted genital herpes...

You can control the outbreaks of genital herpes easily, safely and cheaply and the best way to do that is apply a topical genital herpes treatment that kills the virus at the first sign of an outbreak.

If you kill the virus at the very first sign of a possible outbreak, the length of time and the severity of that outbreak will be drastically reduced. The risk of infecting others is also obviously greatly reduced. Your outbreaks will also be far less frequent, less painful and certainly less embarrassing!

Generic Valtrex - slows the growth and spread of the herpes virus so that the body can fight off the infection. Lessens the symptoms of these infections and shortens the length of time you are sick.

Acyclovir / Zorivax  - Acyclovir is used to treat herpes infections of the skin, lip, and genitals; herpes zoster (shingles); and chickenpox. It does not cure herpes infections but decreases pain and itching and promotes healing.

Famvir - Famvir is an oral antiviral prescription medication. The usual dose of Famvir is one 125-mg pill, twice a day, for 5 days.

Suppressive treatment: if you have frequent or severe outbreaks, you take one 250-mg pill, twice a day, for up to 1 year to suppress the genital herpes virus and help to prevent outbreaks.

Patients with HIV: Famvir is the only prescription oral antiviral therapy indicated for treating genital. In patients with herpes simplex and HIV, the dose of Famvir is 500 mg, twice a day, for 7 days.

Current Month Story - Premature Ejaculation

Have you been there, done that?Premature Ejaculation story at 4RX Blog

Whether we want to admit it or not premature ejaculation (PE) happens. It's happened to nearly all of us. Only most of us are too embarrassed or ashamed to talk about it. Men's sexuality experts, medical professionals, and the pharmaceutical industry are out there, well aware of this predicament, and they do have a few tricks to offer. Premature ejaculation can be overcome.

PE Definition

First, a definition, from the International Society For Sexual Medicine: "Premature ejaculation is a male sexual dysfunction characterized by ejaculation which always or nearly always occurs prior to or within about one minute of vaginal penetration; and, inability to delay ejaculation on all or nearly all vaginal penetrations; and, negative personal consequences, such as distress, bother, frustration, and/or the avoidance of sexual intimacy." While PE is not a serious physical ailment like a heart attack or arthritis, it can lead to serious psychological issues, such as depression and anxiety. Many men report shame, embarrassment, and anger at not being able to last long enough during intercourse to please their partners. In some cases, PE has led to relationship breakup and divorce.

PE Causes

So what causes PE? Like many physical issues, it's extremely complicated and not fully understood. For starters, there may be a Darwinian "survival of the fittest" component; the prehistoric males who ejaculated quickly after starting intercourse were more likely to pass on their genes than those who took longer (and were more likely to be interrupted or attacked by a competitor). Sexually unsatisfied ladies can blame Darwin for their man's rapid discharge.

PE may be due to any number of male psychological issues. PE can go all the way back to when men typically first discovered the pleasure of ejaculation-teenage masturbation. Frequently at that age, fear of being caught in the act led to masturbating extremely quickly to avoid detection. Or, like a drug addict searching for a quick high, guys pleasured themselves in a frenzy just to speed up the mental rush during orgasm. Thus, for some men, rapid ejaculation, and subsequently PE during intercourse, was a learned behavior.

PE can also be due to more generalized psychological problems, such as high levels of stress or anxiety. Sometimes these conditions are directly connected to sexual performance, like worrying about pleasing their partner. Stress and anxiety from other sources, like the workplace,
against all forms of free radicals.

 

Featured Article - 10 Things You Should Know About Swine Flu

 

Swine Flu: 10 Things You Should KnowThe Latest on Swine Flu at 4RX Blog

The global swine pandemic sickened more than 1 million Americans and killed about 500 since it emerged in April. Worldwide, it has infected tens of thousands and killed nearly 2,000.

The Associated Press has tried to boil down the mass of information into 10 things you should know to be flu-savvy.

1. No cause for panic.

So far, swine flu isn't much more threatening than regular seasonal flu.

During the few months of this new flu's existence, hospitalizations and deaths from it seem to be lower than the average seen for seasonal flu, and the virus hasn't mutated dramatically. That's what health officials have observed in the Southern Hemisphere, where flu season is winding down.

Still, more people are susceptible to swine flu, and U.S. health officials are worried because it hung in so firmly here during the summer — a time of year the flu usually goes away.

2. Virus tougher on some.

Swine flu is more of a threat to certain groups: children under 2, pregnant women, people with health problems like asthma, diabetes, and heart disease. Teens and young adults are also more vulnerable to swine flu.

Ordinary, seasonal flu hits older people the hardest, but not swine flu. Scientists think older people may have some immunity from exposure years earlier to viruses similar to swine flu.

3. Wash your hands often and long.

Like seasonal flu, swine flu spreads through the coughs and sneezes of people who are sick. Emphasize to children that they should wash with soap and water long enough to finish singing the alphabet song, "Now I know my ABC's." Also use alcohol-based hand sanitizers.

4. Get the kids vaccinated.

These groups should be first in line for swine flu shots, especially if vaccine supplies are limited: people 6 months to 24 years old, pregnant women, healthcare workers. Also priorities: parents and caregivers of infants, people with those high-risk medical conditions previously noted.

5. Get your shots early.

Millions of swine flu shots should be available by October. If you are in one of the priority groups, try to get your shot as early as possible.

Check with your doctor or local or state health department about where to do this. Many children should be able to get vaccinated at school. Permission forms will be sent home in advance.

6. Immunity takes awhile.

Even those first in line for shots won't have immunity until around Thanksgiving.

That's because it's likely to take two shots, given three weeks apart, to provide protection. And it takes a week or two after the last shot for the vaccine to take full effect.

The regular seasonal flu shot should be widely available in September. People over 50 are urged to be among the first to get that shot.

7. Vaccines are being tested.

Health officials presume the swine flu vaccine is safe and effective, but they're testing it to make sure. The federal government has begun studies in eight cities across the country to assess its effectiveness and figure out the best dose. Vaccine makers are doing their own tests as well.

8. Help! Surrounded by swine flu.

Be extra cautious if an outbreak of swine flu hits your area before you're vaccinated.

Stay away from public gathering places such as malls, sports events, and churches. Try to keep your distance from people in general. Keep washing those hands and keep your hands away from your eyes, nose, and mouth.

9. What if you get sick?

If you have other health problems or are pregnant and develop flu-like symptoms, call your doctor right away. You may be prescribed Tamiflu or Relenza. These drugs can reduce the severity of swine flu if taken right after symptoms start.

If you develop breathing problems (rapid breathing for kids), pain in your chest, constant vomiting, or a fever that keeps rising, go to an emergency room.

Most people, though, should just stay home and rest. Cough into your elbow or shoulder. Stay home for at least 24 hours after your fever breaks. Fluids and pain relievers such as Tylenol can help with achiness and fever. Always check with a doctor before giving children any medicines. Adult cold and flu remedies are not for them.

10. No swine flu from barbecue.

You can't catch swine flu from pork — or poultry, either (even though it recently turned up in turkeys in Chile). Swine flu is not spread by handling meat, whether it's raw or cooked.

Source: U.S. Centers for Disease Control and Prevention, New York City Department of Health and Mental Hygiene.
 

 

Current Month Story - Packing your Childs Lunch

 

Ham, Hot Dogs Raise Children’s Cancer RiskPacking a Healthy Lunch for your child

Parents who pack ham or salami sandwiches in their kids’ lunch boxes may be raising their risk of cancer, according to the World Cancer Research Fund.

Convincing evidence shows that processed meats, which include not only ham and salami but also hot dogs and bacon, raise the risk of bowel cancer, the organization says.

Instead of processed meats, parents should choose low-fat cheese, poultry, fish, hummus, or small amounts of lean meat as sandwich fillings, according to experts at the organization.

In fact, they recommend that children not eat any processed meats because they help form unhealthy habits. Ham and salami sandwiches could give children habits that increase their risk of developing cancer late in life, they say.

“If children have processed meat in their lunch every day, then over the course of a school year, they will be eating quite a lot of it,” said Marni Craze, children's education manager for the organization. "It is better if children learn to view processed meat as an occasional treat if it is eaten at all.”

Ham and high-calorie snacks might seem like a convenient option, "particularly for parents who do not have a lot of time to prepare their child’s lunchbox,” Craze said. “But packed lunches are a part of a child’s diet that is relatively easy to control and it does not have to take too much time or effort to prepare a healthy lunch.

“For example, putting some salad into a sandwich will count towards the five portions of fruits and vegetables children should be eating every day,” she said. “And a small fruit juice instead of a fizzy drink will also give a portion. Also, chicken that has not been processed, fish, hummus or low-fat cheese are easy and quick alternatives.”

The organization recommends limiting total meat intake to about 70 grams or the equivalent of three slices of bacon a week.
 

 

Current Month Story - Popcorn May Prevent Cancer


Popcorn May Help Prevent Cancer Popcorn prevents Cancer story at 4RX

Eating popcorn is good for you and may even help prevent cancer.

Scientists have long known that whole grains are heart-healthy, but a first-of-its-kind study from the University of Scranton found that popcorn, breakfast cereals, and other grain-based snack foods are packed with antioxidants called polyphenols.

Polyphenols in foods such as fruits, vegetables, wine, coffee, tea, berries, olives, and chocolate are thought to help reduce the risk of many diseases. They remove free radicals — the chemicals that can cause damage to cells and tissues — from the body.

Until now, no one knew that commercial cold and hot whole-wheat cereals and snack foods also were a good source of polyphenols. This is important for health because the average American diet consists of a high percentage of these foods.

“Cereals, pasta, crackers and salty snacks constitute over 66 percent of whole grain intake in the U.S.” said Joe Vinson, a chemistry professor at the University of Scranton.

“Early researchers thought the fiber was the active ingredient for these benefits in whole grains — the reason why they may reduce the risk of cancer and coronary artery disease,” he said. “But recently, polyphenols emerged as potentially more important.”

“This is the first study to examine total phenol antioxidants in breakfast cereals and snacks,” Vinson said. “We found that, in fact, whole-grain products have comparable antioxidants per gram to fruits and vegetables.”

The study found that whole grains are very high in antioxidants, with the most antioxidants in cereals made with wheat, corn, oats, and rice, in descending order. Whole grain snacks have slightly lower levels than cereals.

Popcorn has the highest antioxidant level of all whole grain snack foods — more than five times higher than its nearest rival. Tortilla chips, for example, lagged far behind popcorn, with 10 times less antioxidants than popcorn.


 

 

Current Month Story - Vitamin D Inhibits Cholesterol Process in Diabetics
 

Low Vitamin D Inhibits Cholesterol Processing in DiabeticsLow Vitamin D Inhibits Cholesterol Processing in Diabetics

Low levels of vitamin D are known to nearly double the risk of cardiovascular disease in patients with diabetes, and researchers at Washington University School of Medicine in St. Louis now think they know why.

They have found that diabetics deficient in vitamin D can't process cholesterol normally, so it builds up in their blood vessels, increasing the risk of heart attack and stroke. The new research has identified a mechanism linking low vitamin D levels to heart disease risk and may lead to ways to fix the problem, simply by increasing levels of vitamin D.

They found that Vitamin D inhibits the uptake of cholesterol by cells called macrophages, and when people are deficient in vitamin D, the macrophage cells eat more cholesterol, and they can't get rid of it. The macrophages get clogged with cholesterol and become what scientists call foam cells, which are one of the earliest markers of atherosclerosis.

Macrophages are dispatched by the immune system in response to inflammation and often are activated by diseases such as diabetes. This researched belief is that in diabetic patients with inadequate vitamin D, macrophages become loaded with cholesterol and eventually stiffen blood vessels and block blood flow.

The team reports in the Aug. 25 issue of the journal Circulation, which is available online, that vitamin D regulates signaling pathways linked both to uptake and to clearance of cholesterol in macrophages.

"Cholesterol is transported through the blood attached to lipoproteins such as LDL, the 'bad' cholesterol," Bernal-Mizrachi explains. "As it is stimulated by oxygen radicals in the vessel wall, LDL becomes oxidated, and macrophages eat it uncontrollably. LDL cholesterol then clogs the macrophages, and that's how atherosclerosis begins."

That process becomes accelerated when a person is deficient in vitamin D. And people with Type 2 diabetes are very likely to have this deficiency. Worldwide, about 1 billion people have insufficient vitamin D levels, and in women with Type 2 diabetes, the likelihood of low vitamin D is about a third higher than in women of the same age who don't have diabetes.

The skin manufactures vitamin D in response to ultraviolet light exposure. But in much of the United States, people don't make enough vitamin D during the winter, when the sun's rays are weaker and more time is spent indoors.

The good news is that, when human macrophages are placed in an environment with plenty of vitamin D, their uptake of cholesterol is suppressed, and they don't become foam cells. Bernal-Mizrachi believes it may be possible to slow or reverse the development of atherosclerosis in patients with diabetes by helping them regain adequate vitamin D levels.

"There is debate about whether any amount of sun exposure is safe, so oral vitamin D supplements may work best," he says, "but perhaps if people were exposed to sunlight only for a few minutes at a time, that may be an option, too."
 

Current Month Story - Protecting Yourself From Radiation

 

 

Protecting yourself from Radiation story at 4RX Blog

Your doctor might require X-rays every few years as part of your annual physical. And admission to the hospital, even for minor problems, generally requires a trip to the X-ray department. Depending on your reason for being admitted, X-rays of the chest and other parts of the body often are considered routine.

In addition, your doctors may order CT scans and various radioactive tracer studies, such as a bone, liver or brain scan. With each of these tests, you will be exposed to a radiation dose that could vary in strength from very low to quite high.

One thing to always keep in mind is that radiation damage is cumulative, meaning that the damage is compounded with each exposure. The greatest injury is to the DNA of your cells. This is how radiation causes cancer. For information on radiation damage and how to protect yourself.

It has become popular for people to get a total body CT scan as a screening procedure to make sure they are healthy. A recent study found that this practice doubles your risk of developing cancer later in life.

The same is true of yearly mammograms. Women at high risk for breast cancer actually increase their chances of developing the disease by having yearly mammograms — with a 1 percent to 3 percent increased risk per year.

The National Aeronautics and Space Administration devotes a lot of experimental study to radiation protection because astronauts and high-altitude pilots are exposed to extreme levels of gamma radiation.

From these studies has come a considerable amount of scientific literature showing that some of the best protection is derived from food extracts and vitamin combinations. For information on the importance of vitamins in your diet, read my special report “Key Vitamins That Save Your Heart, Prevent Cancer, and Keep You Living Long.”

Among the most potent are curcumin, quercetin, hesperidin, ginkgo biloba, beta-glucan and vitamins E and C, as well as multivitamin combinations. All of these are available from health food stores without a prescription. Here are some things you can do to increase your protection against radiation injury:

Curcumin (an extract of the spice turmeric):
This flavonoid is a powerful anti-cancer substance that inhibits inflammation; is a powerful and versatile antioxidant; promotes wound healing; inhibits the growth of bacteria and viruses; and protects organs, especially the brain and heart, against damage.


Quercetin: This is a very common flavonoid found in cranberries, onions, tea and apples. It has been shown to offer significant protection against DNA damage.


Folic acid: Folic acid, along with vitamins B12 and B6, plays a vital role in the protection and repair of DNA.


Aged garlic extract: Once it ages, garlic extract contains some compounds that strongly protect DNA against radiation Injury.


Alpha-lipoic acid: This is one of the body’s chief antioxidants. It also greatly protects against radiation injury, reduces mercury in the body and guards.

 

Adapted from the "Wellness Report"
 

 

Healthy Recipe of the Month - New York Breakfast

Prep Time - 10 min
Level - Easy
Yield - 4 (2 piece) servings
New York Breakfast
New York Breakfast

Ingredients

8 pieces packaged, thin pumpernickel bread (3 1/2 by 3 1/2 inches))
1/4 cup whipped cream cheese
8 ounces thinly sliced smoked salmon
1/2 red onion, thinly sliced
1/4 English cucumber, thinly sliced
2 medium tomatoes, core, seeded and diced
2 teaspoons chopped, fresh chives
Salt and pepper

Directions

Toast the bread and spread 1 1/2 teaspoons of cream cheese on top of each piece. Put a slice of smoked salmon, a couple of slices of onion, one or 2 slices of cucumber, and about 1 tablespoon of chopped tomato on top of that. Sprinkle with chives and season with salt and pepper.


 

4RX Helpful Links - Herpes / Erectile Dysfunction Links

 

 Herpes Support

Herpes Support Group Addresses and Telephone Numbers by State

 Erectile Dysfunction Videos

What is Erectile Dysfunction?

What Treatment Options are there for Erectile Dysfunction?

Erectile Dysfunction Causes and Treatments

 

AIDS INFORMATIVE VIDEO
 

WATCH INFORMATIVE VIDEO

Questions, Answers & Special Notes 4RX

Special Notes from XLPharmacy:

Be sure to visit Dating Positive Singles - A place where people with STD's will never feel lonely. 

Positive Singles is the best, most trusted and largest dating site for STD singles and friends!

70 million are afflicted with STDs in the U.S. alone and an estimated over 400 million worldwide. Are you one of them?

When you have Herpes, HPV, HIV/AIDS, or any other STD, it can feel like you are all alone in the world. Do you wish there was a place where you didn't have to worry about being rejected or discriminated?

Positive Singles is a warm-hearted and exclusive community for singles and friends with STDs. Here you can get on with your life and meet new friends, partners or potential spouses, or learn about STD medical information. If you just need to find someone to talk to or give them help or advice, this is the best place. Never feel lonely again!

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