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Contraception

Contraception, also known as birth control, is designed to prevent pregnancy.

What are some methods of contraception?
There are several general methods of birth control, including (but not limited to):

Barrier methods, such as condoms, the diaphragm, and the cervical cap, designed to prevent the sperm from entering the uterus.
Intrauterine device, or IUD, is a small device that is inserted into the uterus by a health care provider. The IUD is more than 99 percent effective at preventing pregnancy. An IUD can stay in the uterus for up to 10 years until it is removed by a health care provider.
Hormonal birth control, such as birth control pills, injections, skin patches, vaginal rings, and implants release hormones into a woman’s body that interfere with fertility by preventing ovulation.
Sterilization is a method that permanently prevents a woman from getting pregnant or a man from being able to get a woman pregnant. Sterilization involves surgical procedures that must be done by a health care provider and usually cannot be reversed.

The choice of birth control depends on factors such as a person's overall health, age, frequency of sexual activity, number of sexual partners, desire to have children in the future, and family history of certain diseases. A woman should talk to her health care provider about her choice of birth control method.

Nipple Erection

The erection of nipples is not due to erectile tissue, but due to the contraction of smooth muscle under the control of the autonomic nervous system. It is more akin to a hair follicle standing on end than to a sexual erection. Nipple erections are a product of the pilomotor reflex which causes goose bumps. The erection of the nipple is partially due to the cylindrically-arranged muscle cells found within it.

Nipple erection can also be caused by a tactile response to cold temperature in both males and females. Nipple erection may also result during sexual arousal in females and males, or during breastfeeding. Both are caused by the release of oxytocin.

Nipples of both males and females are one of the erogenous zones, which are generally stimulated by hands or by mouth during foreplay, which leads to sexual arousal. Female nipples are more sensitive, due to more nerve supply and endings. During arousal they generally become stiff, erect and protrude out.

The nipple and areola of males and females can be erotic receptors, sometimes intense enough to elicit orgasm in some individuals of either sex.

How is ED treated?

Most doctors suggest that treatments proceed from least to most invasive. Making a few healthy lifestyle changes may solve the problem. Quitting smoking, reducing alcohol consumption, losing excess weight, and increasing physical activity may help some men regain sexual function.

Cutting back on or replacing medicines that could be causing ED is considered next. For example, if a patient thinks a particular blood pressure medicine is causing problems with erection, he should tell his doctor and ask whether he can try a different class of blood pressure medicine.

Psychotherapy and behavior modifications in selected patients are considered next if indicated, followed by oral or locally injected drugs, vacuum devices, and surgically implanted devices. In rare cases, surgery involving veins or arteries may be considered.

Psychotherapy

Experts often treat psychologically based ED using techniques that decrease the anxiety associated with intercourse. The patient's partner can help with the techniques, which include gradual development of intimacy and stimulation. Such techniques also can help relieve anxiety during treatment for ED from physical causes.

Drug Therapy

Drugs for treating ED can be taken orally, injected directly into the penis, or inserted into the urethra at the tip of the penis.

Oral Medications
In March 1998, the U.S. Food and Drug Administration (FDA) approved sildenafil (Viagra), the first pill to treat ED. Since that time, vardenafil hydrochloride (Levitra) and tadalafil (Cialis) have also been approved. Additional oral medicines are being tested for safety and effectiveness.

Viagra, Levitra, and Cialis all belong to a class of drugs called phosphodiesterase (PDE) inhibitors. Taken an hour before sexual activity, these drugs work by enhancing the effects of nitric oxide, a chemical that relaxes smooth muscles in the penis during sexual stimulation and allows increased blood flow.

The recommended dose for Viagra is 50 milligrams (mg), and the doctor 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 doctor may adjust this dose to 20 mg if 10 mg is insufficient. Lower doses of 5 mg and 2.5 mg are available for patients who take other medicines or have conditions that may decrease the body's ability to use the drug. The 5 mg and 2.5 mg doses of Cialis are FDA-approved for daily use.

None of these PDE inhibitors should be used more than once a day. Men who take nitrate-based drugs such as nitroglycerin pills for heart problems should not use any of the three drugs because the combination can cause a sudden drop in blood pressure. Also, men should tell their doctor if they take any drugs called alpha-blockers, which are used to treat prostate enlargement or high blood pressure. The doctor may need to adjust the ED prescription. Taking a PDE inhibitor and an alpha-blocker within 4 hours of each other can cause a sudden drop in blood pressure. A small number of men have experienced vision or hearing loss after taking a PDE inhibitor. Men who experience vision or hearing loss should seek prompt medical attention.

Oral testosterone can reduce ED in some men with low levels of natural testosterone, but it is often ineffective and may cause liver damage. Patients also have claimed that other oral drugs-including yohimbine hydrochloride, dopamine and serotonin agonists, and trazodone-are effective, but the results of scientific studies to substantiate these claims have been inconsistent. Improvements observed following use of these drugs may be examples of the placebo effect-that is, a change that results simply from the patient’s belief that an improvement will occur.

Injectable Medications
While oral medicines improve the response to sexual stimulation, they do not trigger an automatic erection as injections do. Many men achieve stronger erections by injecting drugs into the penis, causing it to become engorged with blood. Drugs such as papaverine hydrochloride, phentolamine, and alprostadil widen blood vessels. The injectable form of alprostadil is marketed as Caverject. These drugs may create unwanted side effects, however, including scarring of the penis and persistent erection, known as priapism. Nitroglycerin ointment, a muscle relaxant, can sometimes enhance an erection when rubbed on the penis.

A system for inserting a pellet of alprostadil into the urethra uses a prefilled applicator to deliver the pellet about an inch into the urethra. The pellet form of alprostadil is marketed as MUSE. An erection will begin within 8 to 10 minutes and may last 30 to 60 minutes. The most common side effects are aching in the penis, testicles, and area between the penis and rectum; a warm or burning sensation in the urethra; redness from increased blood flow to the penis; and minor urethral bleeding or spotting.

Research on drugs for treating ED is expanding rapidly. Patients should ask their doctor about the latest advances.

Vacuum Devices

Mechanical vacuum devices cause an erection by creating a partial vacuum, which draws blood into the corpora cavernosa, engorging and expanding the penis. The devices have three components: a plastic cylinder, into which the penis is placed; a pump, which draws air out of the cylinder; and an elastic ring, which is moved from the end of the cylinder to the base of the penis as the cylinder is removed. The elastic ring maintains the erection during intercourse by preventing blood from flowing back into the body (see Figure 2). The elastic ring can remain in place up to 30 minutes. The ring should be removed after that time to restore normal circulation and to avoid skin irritation.

Couples may find that using a vacuum device requires some practice or adjustment. An erection achieved with a vacuum device may not feel like an erection achieved naturally. The penis may feel cold or numb and have a purple color. Bruising on the shaft of the penis may occur, but the bruises are usually painless and disappear in a few days. Ejaculation may be weakened because the elastic ring blocks some of the semen from traveling through the urethra, but the pleasure of orgasm is usually not affected.

Actor search

Actor searches are held all over the country and can open a door for anyone; as a performer, you need to be seen. Log onto actor search to find actor searches in your area. Actor searches can include casting calls, auditions or open calls. Here, actors try out for roles and are cast by producers or casting agents. Many actors are found during actor searches like open calls. At open calls, any actor can audition without needing to be invited; they're also a great place to discover the next big movie star. Actor search is a term used when finding talent to act for a TV show, Film, Commercial or Theatre.

Acting studios are great places to improve your acting ability. Go to studios and find out how to get involved in a studio near you. An acting studio may be a local theatre or sound stage where actors can practice their craft as well as receive training from seasoned professionals. Acting studios are a good place to hone your craft as an actor and they also serve as good social settings to meet other actors and stay connected to a highly networked field.

Sexual Addiction

Sexual addiction is a popular model to explain hyper-sexuality is sexual urges, behaviors, or thoughts that appear extreme in frequency or feel out of one's control. There is no consensus among sexologists for whether the phenomenon represents an actual addiction or even a psychological/psychiatric condition at all. Proponents of the sexual addiction model draw an analogy between hyperactive sexuality and substance addiction. Sexual addiction may be but is not always associated with obsessive-compulsive disorder narcissistic personality disorder, and manic-depression. There are those who suffer from more than one condition simultaneously, but traits of addiction are often confused with those of these disorders.

Specialists in obsessive-compulsive disorder and addictions use the same terms to refer to different symptoms. In addictions, obsession is progressive and pervasive, and develops along with denial; the person usually does not see him or herself as preoccupied, and simultaneously makes excuses, justifies and blames. Compulsion is present only while the addict is physically dependent on the activity for physiological stasis. Constant repetition of the activity creates a chemically dependent state. If the addict acts out when not in this state, it spurs by the obsession only. Some addicts do have obsessive-compulsive disorder as well as addiction, and the symptoms will interact. Sexual activity is different. Like eating, having sex is necessary for human survival. Sexual provocation in our society has spawned an increase in the number of individuals engaging in a variety of unusual or illicit sexual practices, such as phone sex, the use of escort services and computer pornography. More of these individuals and their partners are seeking help.

The same compulsive behavior that characterizes other addictions also is typical of sex addiction. These other addictions, including drug, alcohol and gambling dependency, involve substances or activities with no necessary relationship to our survival. For example, we can live normal and happy lives without ever gambling, taking illicit drugs or drinking alcohol. Even the most genetically vulnerable person will function well without exposure to, or provoked by, these addictive activities.