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Lagopthalmos is a condition in which people sleep with their eyes partially open
05/06/2021

Lagopthalmos is a condition in which people sleep with their eyes partially open

26/05/2021

*Fainting while urinating*😟

This is a relatively well known phenomena called 'Micturition Syncope' which is described well in the following article from the patientuk website:

Micturition Syncope
Syncope results from a reduction of cerebral blood flow. There are many triggers for syncope, e.g. coughing and defecation. Micturition syncope occurs when there is temporary loss of consciousness during or after urinating.

Epidemiology:
It is more common in males and accounts for 8.4% of all causes of syncope.1 Furthermore, 61% of patients with micturition syncope also experience other kinds of syncope.1 Peak age of presentation is 30-49 years.

Aetiology:
The underlying cause of micturition syncope is thought to be related to vasovagal syncope with hypotension and possibly bradycardia. This may involve postural hypotension and increased vagal tone as a result from straining (Valsalva manoeuvre).

However, the trigger of the vasovagal response is unclear. It has been hypothesised that the bladder becomes hyper-reflexic. This is supported by spinal cord injury patients who develop hypotension and syncope when intermittent urinary catheterisation is performed.

Furthermore, the risk of developing hypotension is enhanced by any hypotensive medication, e.g. alpha-blockers and even antidepressants.

Excess ethanol intake and excess warmth are also precipitating factors for micturition syncope. Again it is thought that these lead to hypotension.

Furthermore, research in patients with multiple system atrophy (MSA), who have frequent pre-syncope and syncope on micturition, reported that during bladder filling they experienced a slight rise in blood pressure with no change in heart rate (both increased in controls).5 This is thought to result from activation of the sympathetic nervous system. In controls, at the beginning of micturition this sympathetic activity increased with a further rise in blood pressure and heart rate. Following this, there is a decrease in blood pressure and heart rate (back to baseline). Patients with MSA showed a similar pattern but with less of an increase in blood pressure at the beginning of urination, followed by a fall during micturition. However, the fall is more marked and the duration is longer in MSA.5 These changes are similar to those seen in neurally mediated syncope.

Presentation:
Feeling dizzy or light-headed, or having short-lived loss of consciousness when passing urine or straight afterwards. A collateral history is vital.

Differential diagnosis
Other causes of syncope:

Cardiac arrhythmias.
Structural heart disease, e.g. aortic stenosis, hypertrophic cardiomyopathy.
Hypovolaemia.
Postural hypotension.

Investigations:
These are mostly directed towards excluding other more sinister causes, e.g. Holter monitoring, lying and standing blood pressures. Tilt table testing can be used to determine the extent of the autonomic instability and for training to desensitise the patient from the stimulus.

Management:
Safety measures - e.g. standing up slowly from a lying position, keeping the bathroom door open, moving sharp objects away.

Stop any precipitating medications, e.g. antihypertensive medication (if possible - especially alpha-blockers), antidepressants with hypotensive side-effects.

Botulinum A toxin injections have been injected into the detrusor muscle of the bladder of patients with spinal cord injuries with some success.4,6
Fludrocortisone has been used and enhances blood pressure on standing - its role in micturition syncope has not been established.

Drugs such as selective serotonin reuptake inhibitors (SSRIs) have been suggested but there is no evidence of their benefit and they can also aggravate hypotension

24/05/2021
24/05/2021

4️⃣Signs Of Ovulation

After 2 weeks of menstruation, you may feel the following:

-Headache.

-High body temperature.

-Dizziness (feeling of tiredness and sleepiness).

-Breast pain/ size increases just like when you are menstruating.

-Increased s*x drive.

-Light cramps or pain on one side of your abdomen.

- Abdominal bloating.

- Heightened sense of smell, taste or vision (you eat more).

- Va**na mucus becomes slippery (if you notice, put it in between fingers...it stretches like thick catarrh or snail mucus...colorless like egg white.

---see my wall for next slide

24/05/2021

7️⃣Gender Selection

A.To Have A Boy

If the boy s***m are faster but have a shorter life span, then the Shettles objective is to time lo******ng in nearest proximity to ovulation – right before ovulation takes place or the day you ovulate. The concept here is that Y-chromosome s***m will swim quicker than the X-chromosome and more of the Ys will reach the egg sooner. Therefore, the chances of having a boy are increased.

Remember, the egg can survive for only 24 hours following ovulation. Only one s***m can fertilize the egg (out of the millions who start the journey), so timing in*******se close to ovulation would favor quicker Y-chromosome s***m, even if their lifespan is short.

Shettles advises that to increase the odds of having a boy, do not have in*******se during your “transitional” fertile days four to five days before you ovulate. Rather, time lo******ng directly prior to and during ovulation.

The Shettles Method also suggests deep p***s pe*******ons in order to get the s***m closer to the cervical canal, closer to the egg , and more likely closer to the abundant cervical mucus that should be present during your most fertile days.

As for s*xual position, Shettles recommends rear entry or “doggy style” for deepest pe*******on.

According to Shettles, women should try to have an or**sm at the same time as the man; purportedly, or**sms increase endocervical secretion and increase the alkaline level of the va**na. Men should avoid wearing tight cloths and hot showers, etc, prior to in*******se as heat will more likely w**d out the Y-s***m than the X-s***m

These above factors should;
1) decrease the travel distance of s***m;

2) provide a more alkaline pH environment in the va**na (due to presence of cervical mucus);

3) get male s***m to the egg quicker;

4) promote environments conducive to male s***m survival.

---See my wall for next slide---

24/05/2021

The Length Of The P***s(Part 2-end).

So let's continue. Shall we?

Research has shown that regardless of how long the va**na is, the area that is thought to be important for most women’s s*xual response is the outer one-third(WebMD).

What the above statement means is that most of the s*xual stimulation women feel in the act of s*xual in*******se is mostly elicited from the outer one-third of the va**na. Divide the va**na into 3 parts, the outer-third is where some of the erogenous zones are located.

Let's take a look at the average size of the p***s.

The average flaccid(un-erect), pendulous p***s is 9.16 cm (3.61 inches) in length; the average erect p***s is 13.12 cm (5.16 inches) long. The corresponding girth measurements are 9.31 cm (3.66 inches) for a flaccid p***s and 11.66 cm (4.59 inches) for an erect one.

Pe**le Girth is the measurement around the p***s.

So from the above, we can deduce the below;

Average Erect P***s Length: 5.16inches
Aroused Va**na length(Not Pregnant) : 4.75inches

This means an average erect p***s can very well size up an aroused va**na of a non pregnant woman.

The va**na length of a pregnant woman is longer and deeper than the above measurements.

When a woman has given birth thru the va**na, the muscle tone of the va**na doesn't really remain the same and for some, the va**na expands more than the usual size before she got pregnant. For some women, the va**na returns to a near normal size before pregnancy.

This is why some women may not enjoy s*x with their husbands some months after delivery because the walls of their va**na at that time is lax.

You have a lax va**na? Try some kegel exercises.

Now, let me get back to my point and end this.

Aside microp***ses and abnormally small p***ses, an average p***s can perform its
function maximally provided that the length and width of the va**na is as so written.

Just as there are different breast sizes in women(small to medium to large to XL to XXL to ###L), men also have corresponding p***s sizes.

The size of the breast or the p***s do not determine the function. An average small breast of a mother can breastfeed just as well as the average male p***s can satisfy the woman as long as the right spots in the outer third of the va**na is well stimulated during in*******se.

Hello Gentleman ,It's not by the bigness or the longness of the p***s. What you have right there is just okay for you and you shouldn't despise yourself because you don't have a p***s of 10inches or the p***s of a stallion.

Next time you're told you have a small p***s, educate the lady properly.

Many fraudsters out there have taken advantage of people who supposedly want to increase the length of their p***s to that of a stallion.

Those pe**le length increment drugs/creams you see online do not work. There's no known mechanism of action.

How to measure your pe**le length;

Get a ruler or a measuring tape;

1.Start on the top side of your p***s at the tip of the head.

2.Measure in a straight line along the top of the p***s back to the p***c bone.

3.Push past any excess fat or p***c hair and stop measuring at the p***c bone

4.Ta-da—that’s your actual p***s length.

Some have patronized those online fraudsters and have seen that their p***s length remained the same.

Hello Lady, a man mustn't have the p***s of a male horse before you know he can perform well. His average size can do all the wonders as long as your va**nal length and width is within the normal range. Appreciate what your partner has and make the most out of it.

In order for these inordinate desires to stop, I will urge people to desist from watching pornographic images on the internet.
Most of what you see there ain't real.

Stick to what you have, Love your p***s length.

It's unique , It is you!

Thank you for reading, hope you learned?

Any questions?

24/05/2021

Tips For Couples To Last Longer In Bed.

Dear Husbandman, it's really wonderful that you just got married. A big Congratulations to you.

There are challenges that may arise early in your marriage, especially borne from s*xual inexperience and from research, I want to offer you some help tips should incase you encounter the one I'm about addressing.

I want to talk about Premature Ejaculation(PE).

Premature ej*******on occurs when a man ej******es sooner during s*xual in*******se than he or his partner would like. Premature ej*******on is a common s*xual complaint. Estimates vary, but as many as 1 out of 3 men say they experience this problem at some time.

If this is your first time of meeting a woman, it's very common. I need you not to worry because with time and practise you'll be better. If you encounter this, the source of this can be more of psychological than physiological. It's possible you don't have any sickness or disease but due to anxiety and inexperience,you experience PE.

Below are helpful tips I have put together.

1.Lessen your excitement:Excitement here means your stimulation. Lessen it so that you are not close to release before pe*******on.

2.While being stimulated by your wife, distract your mind. Think about something else,maybe football or something uninteresting.
The reason is because the brain is behind "release" and yes it's programmed to release but you have to psych your mind by telling yourself you want to enjoy the process.

3: Your wife should take the top position and make all the movement while you don't make any thrust. She should do it by herself and slowly. You should not think about how sweet it is down there, just think about basket ball, football, volleyball or something else you do not have interest in.

4.If you're gonna thrust from on top, you have to be slow. Doesn't mean you may still not release fast. But with practice, knowing she is your wife and she's not going anywhere, significantly lower your anxiety levels (you and your wife). Her encouraging words to you will also make you last longer. So wives should rather be encouraging. Your words of encouragement can boost your husband's performance.

5. Sometimes after releasing quickly the first time, your wife can quickly stimulate your p***s to get erect again especially if you want to get erect again. And usually, when you go the second time using the techniques I just explained,you will stay longer.

6. Try to pass urine and as you are doing so, suddenly stop to hold it back midway. Holding it back is what's called "kegel's exercise".And that's how you hold back yourself from releasing.
While walking on the road, you can practise this.

Benefits of kegel work out;
1. It assists with premature ejeculation.
2. It helps in the treatment of erectile dysfunction.
3. It leads to better climax.
4. It helps to reverse urinary incontinence.
5. It enhance ej*******on force.

7. Whenever your wife is stimulating you in whatever way, and you discover you're about to release when you don't want to, tell her to stop the stimulus and relax for some seconds, then start again. Doing this will help you.

8. Some school of thought says if a man notices he's about to release, a gentle tug or pull down of the sc***um helps stop the release. Your wife is the one to do this.

9. Relax yourself. She is your wife.Try the above methods.You will get it right with constant practice.

10.You can take kunu Aya a.k. a Tigernut drink (Debino,coconut and tigernut) like 30mins before you start. You both should take it. It's said to be a good booster.

11.Taking Beetroot or the juice: Check YouTube on how to prepare it.It is a good s*x booster as well.

12. If you can get a tea bag containing or capsule containing Ginseng. It's another booster.If you can get the Ginseng itself,great.
You can read up about this.

13. Don't worry! First time couples usually experience this but with time and practise, they get better.

14. Make sure you breath when you're in the process. There is a tendency to hold your breath. But you should breath. Ensure your breathing doesn't pause. Breathe well. You can practise breathing exercises.

15. Reduce stress on yourself. Reduce your anxiety. Being anxious is a risk factor for PE.
Rela###############xx

NB: If you observe, in this write-up,I brought your wife into the picture becausecos she has a key role to play and together ,you both will make it work.

See a doctor after trying all these and none works.

I wish you a blissful union❤️

24/05/2021

_Factors_That_Affect_Your_Sperm_Quality

Part 1

1.Exposure to radiations.
Overexposure to radiation may affect s***m production in men who keep their cell phones in front of their pockets.Exposure to x-rays can over time reduce s***m production.With increased doses of radiation,s***m production can be permanently reduced.

2.Drugs
Certain drugs have been implicated in the reduction of s***m count.E.g marijuana(a recreative drug).This decreases s***m production.Some other drugs used in treating prostate cancer affects the s***m cell negatively.
Some cancer medications,certain antifungal,antibiotic medications and some ulcer medications can reduce s***m production and decrease male fertility.

3.Heavy Alcohol Drinking
Alcohol drinking has great effect on reduction of s***m production.Alcohol reduces testosterone levels which causes reduction in s***m production.

4.Smokers
To***co contains a toxin that damages the s***m cell.

5.Obesity: being overweight and obese has been shown to affect s***m production and also cause abnormal s***m morphology.

6.Vitamin D Deficiency
Men with Vit D deficiency had lower s***m counts and low s***m motility than men with healthy Vit D levels.

7.Injury to the testicles
which can occur during sports or road traffic accidents.

8.Surgeries
Some surgeries like inguinal hernia surgeries have been shown to cause complications involving reduction in s***m cell production.Other surgeries like prostate surgeries,scrotal surgeries.

9.Wearing Tight Underwear
This significantly contributes to elevated scrotal temperature. The testicles doesn't need to be overheated. At all times,adequate air must be allowed around the scrotal sac.
Rather than wear pants,wear boxers.

10.Depression and Anxiety
This causes decrease in semen volume and s***m density.

To be continued

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