Category Archives: Dr. Dalal Akoury

PRP and Nerve Function in Penis

September 23, 2014

 

Using PRP to Preserve Nerve Function in The Penis After Post Radical Prostatectomy

Penis For many patients, undergoing radical prostatectomy, a complex surgical procedure that is meant to remove prostate cancer, means that they lose their penile ability, at least for some time. On average, it has been established that following this procedure, patients have to wait for one to two years before regaining this innate ability. This is so because the nature of the procedure inflicts widespread damage to the sensitive nerves that are responsible for the function. Other factors such as thermal damage and the overall impact of the procedure add to this, thus contributing to the long time that one has to stay without the ability. Although this is the case, the possibility of using Penile Rehabilitation Procedures (PRPs) to help patients has been a subject of discussion. This article is based on how such programs can be effectively used to help patients.

The impact of Radical Prostatectomy on the functioning of the penis

Radical Prostatectomy(RP)is a type of surgery that is used on patients who have prostate cancer. Its effectiveness lies in the fact that such a type of prostate cancer is usually benign, being restricted to the organ of the patient. The impact of the procedure is usually felt on two levels: the nervous and the physiological. On the physiological level, radical prostatectomy causes a number of far – reaching consequences to the patient. For instance, studies have indicated that the flow of blood within the prostate region of patients who have undergone the procedure changes significantly. Such changes in the blood supply, which is technically referred to as venous leakage, interrupt the normal hematological processes of the region, thus leading to erectile dysfunction.

Also, the procedure inevitably leads to destruction of major nerves within the region. Although this has been minimized by adoption of Robot – Assisted Radical Prostatectomy (RARP), the procedure always leads to erectile dysfunction. Studies have indicated that loss of nerve functions within the area is a result of death of the cells that are responsible for the functioning of smooth muscles in the region. This leads to an interference of the amount of fibers found in the smooth muscles, a condition which persists for between one and two years, depending on the patient and other factors.

Use of Penile Rehabilitation Procedures

Since many men continue to experience the desire to have sex well in their old age, it is very important that such men, who may have lost their erectile ability soon after the procedure to remove prostate cancer, find help about the issue. Further, the fact that studies have indicated that over 80% of all patients who undergo the procedure experience erectile dysfunction means that the need for penile rehabilitation procedures remains a reality.

The overall goal of penile rehabilitation procedures is to help a patient regain the ability to initiate and sustain an erection that is strong enough to enable him successfully engage in a sexual act. Theoretically, since it has been pointed out that loss of erection in such patients is a result of disturbance in the flow of blood in the prostate region as well as destruction of the functioning of the cells of the smooth muscles, the procedures seek to reverse these effects. Apart from restoring a normal flow of blood within the penis, the procedures seek to reverse the effect of fibrosis in the penile muscles thus enabling a patient to have normal erections.

Types of Penile Rehabilitation Procedures

There are several types of penile rehabilitation procedures that can be used on patients. Since most of them have specific advantages and disadvantages, the choice of which particular method to be used depends on the opinion of the practitioner and the wishes of the patient.

Use of PDE-Inhibitors

The first method entails use of special drugs that inhibit hormones which have been known to interfere with the chemical process that leads to an erection. Known as PDE-5 inhibitors, these drugs make it easy for blood to flow within the penis tissue by causing the smooth muscles to relax. They are usually taken an hour or so prior to engaging in sexual activity.

Regardless of their ease of use, the success rate of these drugs, particularly in patients who have undergone Radical Prostatectomy remains low. What this means is that although the drugs have been used to effectively treat erectile dysfunction, their success with men who have undergone Radical Prostatectomy remains a matter of concern.

Use of special devices

Special devices can also be used as part of the Penile Rehabilitation Procedures. There are several such special devices that one can use to ensure that he gets and maintains an erection during sexual intercourse. One of them is the venous constriction device which is a small loop that is worn at the base of the penis prior to intercourse. The device works by limiting the amount of blood that flows from the penis through the veins, thus enabling a person to sufficiently maintain a stiff erection.

PenisAnother one is the vacuum constriction device which, as the name suggests, works by sucking blood into the penis thus initiating an erection. The device is usually used minutes to intercourse and its efficiency has been commendable.

Conclusion

Although research has indicated that majority of men who have undergone Radical Prostatectomy lose the ability to initiate and maintain an erection, there is hope: use of Penile Rehabilitation Procedures. If you have this condition, you may consider contacting us at AWAREmed Health and Wellness Resource Center for Personalized Penile Rehabilitation Procedures.

 

Using PRP to Preserve Nerve Function in The Penis After Post Radical Prostatectomy

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Antidepressants and Sexual Desire

September 23, 2014

Use of Antidepressant Drugs And Decreased Sexual Desire In Men And Women

Introduction

AntidepressantFor years, studies have indicated that the use of different types of antidepressant drugs causes high incidence of decreased sexual desire in both men and women who take them. The incidence, intensity and distribution of this condition vary from place to place and largely depend on the specific drug that is being used. In this article, a number of common antidepressant drugs that are responsible for decreased levels of sexual desire in men and women will be examined. This will be followed by a brief description of how this process actually occurs. Lastly, various solutions that are used to treat the condition will be briefly discussed.

Some common antidepressant drugs that cause decreased sexual desire

Before we look at specific antidepressant drugs that are responsible for decreased sexual desire among men and women, it is perhaps important to point out at this stage that there are many types of drugs that when used have been known to cause decline in sexual desire in individuals. Generally, drugs that are meant to be used to cure psychiatric problems may have an effect on the level, frequency and intensity of sexual desire in men and women who use them. Therefore, drugs such as triazolam and diazepam which are used to treat conditions such as insomnia and excessive anxiety have been found to reduce the level of sexual desire in men and women who use them. The same effect has been found for drugs such as sparine which are used in the treatment of general psychotic conditions.

In the case of antidepressants, many of the drugs that are used as first line of treatment for the condition have been shown to cause decreased sexual desire in both sexes. The Selective Serotonin Reuptake Inhibitors, as they are commonly called, have been found to cause a wide range of problems which generally interfere with the overall sexual desire in men and women who use them. Also, tricyclic antidepressants which are used to treat depression have been found to decrease the level of sexual desire in both sexes.

How use of antidepressant drugs causes decreased sexual desire

The manner in which different antidepressant drugs reduce the level of sexual desire in men and women who are using them is complex and varies with the specific drug that is being used. However, in simple terms, the drugs interfere with the secretion, distribution and effect of special hormones which are associated with sexual drive. The result of this is that a man experiences different sexual issues such as delayed orgasm or failure to initiate an erection. For a woman, the failure to experience orgasm is a common occurrence.

The manner in which Selective Serotonin Reuptake Inhibitors cause decreased sexual desire in men and women is fascinating. First, when used, the drugs cause a sudden rise in the level of serotonin in the body. This leads to a decrease in the level of dopamine, an important neurotransmitter, in the body. Following the decrease of dopamine, the amount of cortico-limbic 5-HT is suddenly increased. This condition is what leads to decreased sexual desire in individuals. Of course the manifestation of decreased sexual desire varies with the sexes. Whereas men may fail to erect or take long to ejaculate, women usually experience it in the form of failing to reach an orgasm

What is important is that many different antidepressant drugs cause a decrease in sexual desire by affecting specific aspects of sex. Depending on the way in which they work, the drugs may inhibit orgasm in men and women, mess up with the erection process in men, inhibit lubrication in women and reduce overall libido in men and women.

Solutions to decreased sexual desire resulting from use of antidepressants

There are several strategies that can be used to treat decreased sexual desire resulting from use of antidepressant drugs in men and women. Each of the strategies, though, presents a number of possible challenges which need to be handled. For instance, decreasing the dosage of the antidepressant drugs will definitely reduce the severity of the side effects in the form of decreased sexual desire. However, this may compromise the outcome of the treatment regime being used.

In the same vein, using alternative drugs may help one overcome the effects of the earlier one at least for a while. But since many antidepressant drugs have been known to have different effects on the sexual drive of men and women who use them, it will only be a matter of time before a different set of problems occurs.

Using drugs that directly combat sexual dysfunction may help. But then interactions have been known to occur between such drugs and active ingredients that are found in a wide range of antidepressant drugs. Further, such drugs do present their own side effects over the long term, thus complicating matters further.

AntidepressantThis leaves natural alternatives as the only viable option of handling the issue of decreased sexual desire arising from the effect of antidepressant drugs. There are a wide range of natural methods that can be used to help one regain sexual desire after suffering from the effects of antidepressant drugs. For instance, use of specific diet as well as natural products can help one regain the lost sexual drive without worrying about possible interactions with the drugs that are being used to treat depression.

Therefore, since decreased sexual desire is a highly sensitive issue, you need to see your doctor immediately the issue is detected. Dr. Dalal Akoury of AWAREmed Health and Wellness Resource Center can help you regain your libido by use of a wide range of safe and effective natural methods. Contact us today or pay us a visit in Myrtle Beach, South Carolina for effective and personalized services.

Use of Antidepressant Drugs And Decreased Sexual Desire In Men And Women

 

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Night of Beauty with Dr. Dalal Akoury

September 23, 2014
Night of Beauty

Night of Beauty

NIGHT OF BEAUTY

Dr. Dalal Akoury founder of AWAREmed Health and Wellness Resource Center invites you to join us for a fabulous Night of Beauty open house dedicated to rejuvenating your beauty and healing the mind, spirit and body. Learn about the latest procedures in revolutionary natural beauty and integrative health.

Dr. Akoury unveiled a breakthrough in beauty aesthetic medicine with the launch of Platelet Rich Plasma Treatment (PRP) more commonly known as the ‘Vampire Facelift’ used for the first time in Myrtle Beach. Used by Hollywood’s red carpet elite, Advanced Dermatology take a blood sample and use a high speed centrifuge to separate the plasma for use, so the patient’s own blood is used to guarantee a perfect match. The treatment can reduce sagging, increase beauty and give skin a warm and healthy glow. This beauty treatment drastically reduces wrinkles and eliminate under eye circles.

It is a natural, safe, quick and effective beauty solution for visible improvement in texture and luminescence of the skin. ‘Vampire Facelift’ involves using the person’s own platelets for removing signs of aging and is more effective than other beauty treatments as it has no side effects and offers long-lasting, maximum guaranteed results. This non-surgical form of facial rejuvenation restores shape, improves tone, as well as literally rejuvenating new and younger tissue. The PRP treatment would be administered by Dr. Dalal Akoury and provided at 4710 Oleander Drive, Myrtle Beach, SC 29577.

Come join us for an informative night of beauty the natural way!

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Smoking and How it Effects your Sexual Health

September 23, 2014

Smoking and Sexual Health – Sexual Arousal Adversely Affected by Smoking

Sexual health

Smoking and Sexual Health are not a good combination because nicotine affects sexual life negatively.

In one of the previous articles, I mentioned that sex is one of the most human valued assets which needs to be protected by all means and I want to repeat the same here even as we get into this discussion. For a couple of weeks now we have been discussing primarily about sexual health and all that causes hindrances to sexual satisfaction. We have also pointed out that all the problems affecting both men and women sexual health has solutions when addressed in good time by the experts and in this Doctor Dalal Akoury has been very much outstanding in administering real life treatments using the new technological methods or Priapus Shot for men and the O Shot for women. However in this article we want to further the discussion but this time looking at how tobacco smoking may be contributing in the derailment of absolute sexual health.

If you have been following the link by own you must have known that sexual health requires good blood circulation in the body for proper and sustained erection during the process of sexual intercourse, yet tobacco exerts a negative effect on blood circulation by constricting blood vessels. Several studies have been done on this and most of their findings have established that smoking has a negative impact on the arousal phase, erection and lubrication. It is primarily for this reason that tobacco is harmful for sexual health in the medium term. However, we now know that numerous substances contained within smoke may also exert a more immediate effect, leading to a significant reduction in erectile capacity after just a puff of one cigarette. Besides effects on the sexual health, cigarette smoking can also negatively affect fertility, promote certain sexual diseases and lead to an early menopause.

Effects of Smoking on Sexual Health  

The connection between long-term smoking and arousal disorders (erectile dysfunction or lubrication problems) is well known and has been demonstrated. Although it is true that sexual health problems may be caused by many things, it is important to observe smoking as a risk factor in itself, especially when an arousal problem suddenly develops. Smoking effectively poses certain well-known risk to cardiovascular health and given that circulation problems are the main physical cause of erectile dysfunction, it then becomes very clear that nicotine and tobacco will have a very negative impact on the sexual health of a smoker thanks to their detrimental effects on blood supply.

The correlation between erectile problems and cardiovascular illnesses, as well as the constriction of the penal arteries, underpins the concept of the “sentinel symptom”, given that erectile dysfunction can be an early warning sign of broader cardiovascular illnesses. Erectile dysfunction can therefore appear several years before the first cardiac symptoms. The harmful effect that smoking exerts on the whole network of veins seems to depend on the dosage and on how long the person has smoked.

Physiology of Sexual Health

It is important to appreciate the fact that the penis is not formed of bones and so the blood vessels in the penis are the ones that facilitate or cause an erection as a result to a build-up of blood in the spongy tissues of the reproductive organ. Should anything obstruct the arteries then the blood supply no longer reaches an optimal level and this will definitely cause problems. The constant flow of blood is so crucial that even a reduction of say 25% in blood supply is enough to affect the quality of an erection, whereas the supply in the coronary arteries must generally fall below 50% for physical symptoms of heart disease such as angina to become present.

That is why the specialized literature now recognizes that erectile dysfunction in men of all ages can be a useful warning sign of latent cardiovascular problems. Furthermore, the most commonly used medication for treating erectile dysfunction (e.g. Viagra®, Cialis®, Levitra®) act by increasing the blood supply, which emphasizes the importance of good circulation as a major contributor to adequate sexual arousal. Circulation problems in women can also lead to an insufficient level of arousal, for example, vaginal dryness.

Smoking Just One Cigarette can affect Erection and Sexual Health

Among the innumerable active ingredients in tobacco, nicotine, carbon monoxide and certain free radicals are responsible for the constriction of blood vessels with a more immediate effect this has been well demonstrated by several studies in the recent past. An occasional cigarette can therefore lead to a significant decrease in erectile performance, for instance an increase of over 20% compared to a non-smoker!

Tobacco is a risk factor for Sexual Health

The high instance of smokers among have a decreased sexual health like erectile dysfunction, significantly higher than in the general population (40% compared to 28%), clearly points to a straightforward correlation between tobacco and erection problems. Epidemiological studies suggest that smokers may be twice as likely to develop erection problems as non-smokers. The risk is obviously higher if we take into account the risks posed by other smoking-related conditions such as diabetes.

Tobacco is harmful for sexual health

As it has been established in many studies, tobacco leads to an impaired arousal phase among men and women. However, the negative effects of tobacco are not limited to arousal and erection problems. Smoking can also affect sexual health like fertility, effectively decreasing it among both male and female smokers and it can also cause problems during pregnancy. The anti-estrogen effect of smoking tends to bring the menopause several years e.g. 10 years upfront.

Finally considering that cigarette smoking is also very addictive, it will be very important that the effects of cigarette smoking are sexual health is not only addressed at that level but also as an addiction problem. We are privilege that doctor Dalal Akoury is a professional in both conditions and had had a very good track record in her treatment undertakings for the past twenty years of practice. For those wishing to stop smoking and regain a functional and fulfilling sex life calling doctor Akoury will be the starting point.

It should also be noted that although sexual health problems do not generally affect life expectancy, they are more common than people think and considerably affect the overall health of an individual. Therefore individuals suffering from such should consider reaching out for doctor Akoury who will up on evaluating their individual situations and condition will be able to subject them to proper medical treatment. Doctor Akoury founded AWAREmed Health and Wellness Resource Center a health institution I will also call the home of solutions to all medical problems relating to sexual dysfunction, obesity and weight related problems, substance abuse and addiction and many others. Call right now and meet the experts for lasting remedies to all your sexual concerns.

Smoking and Sexual Health – Sexual Arousal Adversely Affected by Smoking

 

 

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Premature Ejaculation: Causes and Treatments

September 22, 2014

Premature Ejaculation: Causes and Treatment

Premature ejaculation or PE, as it is commonly known, is one of the most common forms of male sexual problems. Perhaps it would be right to say that every man must have encountered the problem at some point in life. This is so when one considers how common the problem is in men across different ages and cultures. In this article, we shall examine what exactly this condition is, its causes and how it can be treated. We shall examine different classes of factors that are said to be the causes of this condition. With regard to treatment, our focus shall be on different natural methods that can be used to tackle it. But before we get to that, it is important that you understand what exactly premature ejaculation is.

premature ejaculation

premature ejaculation

What is Premature Ejaculation?

It is actually difficult to develop a comprehensive definition of premature ejaculation. This is so, because of several reasons that are obvious. For example, if we base our definition to the time taken for a man to reach orgasm, this may be right but not accurate since cases of men getting sexual satisfaction during intercourse sessions that last very shortly are not rare. It all depends on the conditions that prevail at the time. What is important though, in defining this condition is the fact that a man reaches orgasm not only too soon but also when he does not wish so. What this means is that for a condition to be taken as premature ejaculation three things are important. The first one is that the man gets to orgasm too soon, depending on the conditions at the time. The second thing is that the orgasm occurs when the man does not wish it to be so. The third thing is that orgasm is prompted in the man after minimal exposure to sexual stimulation. This usually happens too soon after penetration for one to successfully enjoy sexual intercourse.

· Causes of Premature Ejaculation

Now that we have understood what exactly premature ejaculation is, it is important that we move on to its causes. There are many different factors that are behind this condition. It is important to point out at this stage that there is hardly any single thing that is a direct cause of premature ejaculation. What happens in real life is that the condition occurs as a result of a complex interaction of factors in one’s life. Whereas some create the right conditions for the situation to set in, others simply aggravate it by ensuring that you do not break from it.

For the purposes of simplicity, we shall examine the different causes of the condition in terms of groups of factors that operate in a more or less similar fashion.

  • Causes of Premature Ejaculation from Physical Factors

Premature ejaculation may be caused purely by physical factors. Although this is uncommon, the presence of particular physical factors is usually enough to cause the condition in some people. There are several of such factors. For example, general body fatigue may be a big cause of premature ejaculation. A man who is physically exhausted may find it difficult to take his time and successfully go through the stages of sexual encounter. The physical state of the body may trigger a quick response in the form of an ejaculation that comes far too early. Apart from overall body fatigue, the manner in which the sexual experience is taking place may trigger premature ejaculation. Although this is not common, a hurried sexual experience that is done under unsuitable conditions may contribute to premature ejaculation.

  • Causes of Premature Ejaculation from Psychological Factors

It is a common saying that the greatest sexual experience is born and nurtured in the mind; the body only experiences a mere sensation. Although this may not be accurate, it underscores the fact that the state of the mind determines how well one enjoys a sexual experience. Since this is so, it then follows that some states of the mind may inhibit one from enjoying a satisfying sexual experience. To men, this inhibition is usually manifested in the form of premature ejaculation. Conditions such as anxiety, depression and overall mental stress are clear causes of premature ejaculation. And such conditions can be caused by different circumstances in one’s life.

premature-ejaculation

premature ejaculation

Treatment of Premature Ejaculation

Essentially, there are different natural methods that one can use to deal with the problem of premature ejaculation. A word of caution here is in order. The methods never work when used once; they rather work well when adopted and used over a long period of time. Therefore, for you to get the best results, you have to make them part of your routine.

At the heart of natural methods of treating premature ejaculation is that early ejaculation is a result of particular sensations that are communicated within the system of a man thus triggering him to get to the point – of- no- return during sex too soon. Therefore, if the man can learn to control the sensations, the process triggering ejaculation would be delayed as long as the man needs it to be. This is best done by practice. One needs to get a partner who is willing to go through the practice sessions as a way of improving his performance. During the practice sessions, the man is sexually stimulated to the point that ejaculation is about to be triggered. The stimulation is stopped and the man is allowed to relax fully before another session. When this is done repeatedly, the man will definitely learn to relax during sexual intercourse and control the sensations that arise from the experience thus being able to control the timing of his ejaculation.

Although these methods have been known to work, they may not be effective to everyone at all time. There are certain cases that are too complex to be handled by natural methods. Such cases may require medical attention. So when such is the case, you may book an appointment with us at AWAREmed and we shall evaluate your condition and get the best remedy for you.

Premature Ejaculation: Causes and Treatment

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