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Smoking damages almost all aspects of sexual, reproductive and child health, according to a report.

The study, by the British Medical Association, says smoking has caused impotence in 120,000 men aged 30-50.

It is erectile dysfunction surgery
for up to 5,000 miscarriages a year, reduces the chances of successful IVF and is implicated in cases of cervical cancer.

The BMA is calling for tough anti-smoking measures, including help for pregnant women to avoid passive smoke.

BMA recommendations
Women exposed to passive smoking at work should be entitled to leave of absence on full pay throughout their pregnancy
Tobacco warnings should include risks to reproductive health
Smoking should not be glamorised in the media
Government targets to reduce smoking should be more ambitious
Enclosed public places should be impotence viagra

The report concludes that the damage inflicted by smoking is evident throughout reproductive life - from puberty to middle age.

Not only can smoking prevent people starting a family, the report says, it can also damage their children.

It says smoking reduces the chances of a woman conceiving by up to 40% per cycle.

And women who smoke during pregnancy are three times more likely to have a low birth-weight baby. Low birth weight is closely linked to illness and death in infancy.

There is also evidence that smoking may increase the risk of certain foetal malformations, such as cleft lip and palate.

Women who smoke have also been found to produce smaller volumes of lower quality breastmilk.

Passive smoking is linked to cot death, premature birth, erectile dysfunction aids infection in children and the development of childhood asthma.

It is estimated that each year more than 17,000 children under five years old are admitted to UK hospitals because of respiratory illness caused by exposure to other people's cigarette smoke.

Dr Vivienne Nathanson, the BMA's Head of Science and Ethics, said: “The sheer scale of damage that smoking causes to reproductive and child health is shocking.

“Women are generally aware that they should not smoke while pregnant but the message needs to be far stronger.

“Men and women who think they might want children one day should bin cigarettes.

“And we're not just talking about having children. Men who want to continue to enjoy sex should forget about lighting up given the strong evidence that smoking is a major cause of male sexual impotence.”

Devastating impact

Deborah Arnott, director of anti-smoking charity ASH, said: “This report clearly shows the devastating impact of smoking on generations to come.

“Stopping smoking should be the number one priority for anyone who wants to have children.

“This is important not just to increase the chances of conception but also to give your child the best start in life.

“By stopping smoking, parents will not only improve their own health but will lessen the chances of their children developing illnesses such as asthma and pneumonia.”

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The Indian Medical Association (IMA) has decided to take legal action questioning the scientific basis of a 150-year-old cure for asthma.

Known in the southern state of Andhra Pradesh as fish medicine, the cure is used by hundreds of thousands of patients every year.

In recent years, the medicine has gained tremendous popularity.

About half a million people visit Hyderabad every June to consume the medicine which is taken with live fish.

'Herbal medicine'

An official of the IMA, CL Venkat Rao, told journalists that the association will issue legal notices to the state and central government for their failure to verify the scientific basis and the contents of the medicine.

He said the Andhra Pradesh High Court had last year asked the government to find out the contents of the medicine but so far nothing had been done.

Fisherman in India
Fish medicine is highly sought after in India

The IMA has decided to take court action because it says the family in Hyderabad which owns the medicine is preparing to administer it again this year - starting on 8 June.

Bathini Harinath Goud, the herbal remedy for impotence
of the Prostate impotence family, says the formula of the “herbal medicine” was given to his great grand father Veeranna Goud by a sage in the Himalayas in 1854.

He says that since then the family has been impotence treatment viagra the medicine to people free of charge.

The family say they cannot reveal the formula, because if they do so, the medicine will lose its efficacy and others will commercially exploit it.

Impotence

But the IMA says tests at a private laboratory in Hyderabad last year revealed that it had steroids, heavy metals, mercury and other ingredients which could be harmful to asthma patients.

Dr Rao says the presence of these steroids and heavy metals can harm kidneys, cause impotence and lead to intestinal and bone marrow damage in addition to other diseases.

The IMA said that in some cases, it can aggravate the medical condition of asthma patients.

Legal notices will be issued to the Andhra Pradesh government, Dr Rao said, in addition to the heads of police, water supply and the central ministry of health and family welfare.

The IMA says the action is necessary to stop what it terms “government patronage” of the event.

It has questioned the rationale of the government spending nearly $2.3m on the event every year, providing food, water and other help for the tens of thousands of people who come to be treated.

However, the Goud family dismissed the claims by the IMA.

“Doctors keep saying such things against us. We are not worried about what they are saying,” a family statement said.

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The anti-impotence drug Viagra can reduce the effects of stress on the heart, research has found.

The drug, used by millions of men, slowed the increase in the strength of heart contractions by half.

The Johns Hopkins University study, published in Circulation, found the drug acted as a “brake”.

However, UK heart experts warned men with heart conditions should talk to their doctor about taking the drug to ensure they use it safely.

Mixing this drug with other heart medicines or taking it if you have angina without advice from a health professional or GP can be dangerous for heart patients

Dr Charmaine Griffiths, British Heart Foundation

Viagra, also known as sildenafil, helps men with erectile dysfunction by making genital blood vessels expand in order to maintain an erection.

The Johns Hopkins team have previously shown Viagra can block the short-term effects of hormonal stress in the heart in mice.

But it had been thought to have little direct effect on the human heart.

Contractions

This study looked at 35 men and women, with an average age of 30 and no previous signs of coronary artery disease.

They were all given an injections of an adrenaline-like chemical called dobutamine, which increases heart rate and pumping strength in the same way as emotional or exercise stress, or heart failure.

They were then randomly assigned to either take 100mg of Viagra or a dummy pill before receiving a second injection. Heart function was measured before and after each jab.

After the first injection of dobutamine, the force of heart contraction increased by 150% in both groups.

In the dummy pill group, the same effect was seen after the second injection.

However, in the group treated with Viagra the increased heartbeat was slowed by 50%, resulting in a smaller increase in blood flow and blood pressure generated by the heart in response to chemical stimulation.

No adverse side effects on the heart were seen.

Viagra helps maintain erections by blocking the action of an enzyme which prevents the relaxation of blood vessels in the penis.

The same enzyme, called diabetic impotence 5 (PDE5A), is also involved in the breakdown of a key molecule, cyclic GMP, which helps control stresses and limit heart enlargement.

Heart warning

Professor David Kass, the topical cream erectile dysfunction who led the study, said: “Sildenafil effectively puts a 'brake' on chemical stimulation of the heart.”

He added: “Knowing more about the effects of sildenafil on heart function will allow for safer evaluation of its use as a treatment for heart problems.

“Until now, it was widely thought that drugs like sildenafil had no effects on the human heart and that its only purpose was impotence natural remedy in the penis and the lungs.”

He said further studies should be carried out to investigate Viagra's immediate and long-term effects on the heart.

Dr Charmaine Griffiths, from the British Heart Foundation, said: “Viagra has been a real advance in treating impotence, which affects nearly half of men between 40 and 70 years old.

“The findings that Viagra affects blood pressure is not surprising - before it was known as a successful treatment for impotence, it was actually being researched for lowering effects on blood pressure.”

But she added: “If you have a heart condition you should check with your doctor before taking Viagra.

“Mixing this drug with other heart medicines or taking it if you have angina (heart pain on exercise) without advice from a health professional or GP can be dangerous for heart patients.”

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One in five men diagnosed with prostate cancer are told the news in an insensitive way - some by phone or letter, a survey has found.

The Prostate Cancer Charity asked over 1,140 men about their experiences.

Just under a quarter of those who were alone when they heard their diagnosis wished someone had been with them.

And almost 20% were not made aware of the side effects of different prostate cancer treatments, which can include impotence and incontinence.

And 40% said they were not given written information about the disease, treatments or side effects such as impotence to take away with them.

The Prostate Cancer Charity said the survey findings, which it launched at a conference in London this week, highlighted the wide variations in care that men received.

Every year, over 30,000 men are diagnosed with the disease and 10,000 men die from it.

It is now the most common cancer diagnosed in men in the UK.

'Anger and herbal erectile dysfunction treatment
'

Chris Hiley, head of policy and research at the Prostate Cancer Charity, said: “We must improve all men's experiences of health care choices. Help them demand attention.

“Change society's views so men's muse for impotence
to tailored health care is as respected as women's.”

John Neate, chief executive of the charity, said: “Many men singled out doctors and nurses who gave them fantastic care.

“But all too often the comments described men's anger and frustration.”

He added: “It's disgraceful that so many men with prostate cancer still do not get physical cause impotence care and support.

“One man told us how he received a letter on a Saturday telling him he had cancer, with a help number that was not available until the following Monday.

“Another man commented: 'Although I had disgraceful attention, I have been lucky with no serious effects'.”

He called on the government to make prostate cancer a more urgent priority.

Professor Jessica Corner, of the charity Macmillan Cancer Relief, said: “Men's vital needs are not being met and more appropriate care, support and advice is crucial to their well-being.

“Only over the past five years has the NHS invested resources into prostate cancer compared to breast cancer for example and this needs to change.”

“With more research, resources and greater awareness, men could start to see an improvement in prostate cancer services.”

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Former mining levitra and erectile dysfunction
in south Wales have the worst levels of steroid abuse in the UK, research seen by the BBC has shown.

A survey by the University of Glamorgan found as many as seven out of 10 people using gyms in the region take drugs to help their training.

More inactive lifestyles mean people are turning to steroids to get the shape they want, the study author says.

The research is unveiled on the BBC Radio Wales programme Eye on Wales.

Professor Bruce Davies carried out the research in gyms dedicated to heavy lifting in the south Wales valleys area, and says the findings replicate those of studies carried out in other parts of Wales.

He said: “We found by going into big lifting gyms that 70% of the attendants were using anabolic steroids.

“We've seen very similar studies in north Wales, in Cardiff and in Swansea, so I suspect there's a significant number of people using anabolic steroids in Wales.”

Side-effects of the drugs can include baldness, impotence, developing milk-producing breasts in men and acne, and in misuse of anabolic steroids can cause heart and liver failure.

Professor Davies believes use has risen in former mining areas because of social changes.

“Gone are the days when you could get admiration by going down a mine -you didn't have to prove anything,” he said.

“Sadly those days are gone and now people are seeking other ways to gain admiration.

“When you think about it these days, most people are semi-debauched, we're not a very active society so the only way to acquire the muscles these people want is to weight train using anabolic steroids.”

Dealing

One 20-year-old weight-training enthusiast, who gained five stone in three years after taking steroids, thinks the risks of the drug have been overstated.

“It's down to the individual - if your diet's good and your training's good you should be fine,” he said.

“Ok, something could go wrong inside but that could happen to a normal person walking down the street. A lot of the risks are just word of mouth and I think a lot of things are exaggerated totally out of impotence forum
.”

Possession and use of steroids is not illegal, provided it is a “medicinal form”, but dealing steroids is.

Katy Swaine, head of legal services at drug charity Release, thinks there is some ambiguity about what constitutes a medicinal form of the drug.

“The law on steroids still remains in a slightly unclear state and could certainly do with clarification now,” she said.

The research, entitled Steroid and Psychological impotence Medicine - Abuses in the Recreational Gym user - a regional study, questioned 210 people at 100 heaving lifting gyms in the former Mid Glamorgan county area in 2005.

Eye on Wales is broadcast on BBC Radio Wales on Monday 3 July at 1800 BST.

NOTE: Side-effects of the drugs can include baldness, impotence, developing milk-producing breasts in men and acne, and in misuse of anabolic steroids can cause heart and liver failure.

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The anti-impotence pill Viagra could be available buy sildenafil citrate drug, it is reported.

The drug's maker Pfizer says it is considering submiting an generic viagra online
to European regulatory authorities to clear it for sale in pharmacies.

An estimated 27 million men have already used the little blue pill for erectile dysfunction on prescription.

Medics said a change would be welcome but might mean other linked diseases were missed with no health check ups.

Ups and downs

Often, men with erectile dysfunction have underlying health problems such as diabetes, which can be spotted by their GP at the time they come for an anti-impotence prescription.

“If men can buy Viagra and rival anti-impotence drugs over-the-counter without a prescription, this opportunity is missed,” said Dr David Ralph from the Institute of Urology at University College London.

But there would be benefits too, he said, such as combating the problem of Viagra sold illegally on the internet from unknown sources, which may be fake and if taken with some medicines could be fatal.

He said it would be safe to buy over-the-counter provided the pharmacist did the necessary checks to ensure the medication was suitable for the patient.

Erectile pill
factor

It might also be a more attractive option to men as going to see the GP about sexual problems can be prostate impotence, he added.

But he cautioned: “There is more to sexual relations than an erection. There may be other problems.”

Viagra works by relaxing the blood vessels in the penis. This allows blood to flow into the penis causing an erection.

However, the drug is not an erectile dysfunction disorder and does not increase sex drive.

It is licensed only as a treatment for men who have been diagnosed by a doctor as having impotence.

Also, some men, such as those with severe heart disease or low blood pressure, should avoid it because of possible risks and side effects.

Viagra is not licensed for use in women and its safety in women has not been established.

A Pfizer spokesman said: “As with many of our products, Pfizer has routinely evaluated a number of options including different formulations, new indications, over-the-counter and continues to do so.”

He added that despite speculation there were no plans to pursue a spray version of the drug.

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Pelvic floor exercises have long been recommended for women - now researchers say they could help men too.

The exercises were found to help men with erectile dysfunction as much as taking in Viagra.

The researchers say the findings mean men have an generic soft tab viagra
to drug therapy.

For around 50 years, women have been advised to perform pelvic floor exercises to strengthen their muscles for childbirth.

The pelvic floor is a “hammock” of muscles which support the bowel and bladder.

Pelvic floor, or Kegel, exercises involve clenching the muscles you would use to prevent yourself urinating.

This latest research indicates it is also important for men to maintain the muscle tone and function of their pelvic floor muscles with the exercises.

Home exercises

The team from the University of the West of England in Bristol studied 55 men with an average age of 59 who had clinical formulation health in psychology treatment
erectile dysfunction for at least six months.

The men, all patients at the Somerset Nuffield Hospital, Taunton, Somerset, were given five weekly sessions of pelvic floor exercises and assessed at three and six months, and asked to practise the exercises daily at home.

It was found 40% of the men regained normal erectile function - some of who had severe erectile dysfunction, and another 35% showed some improvement.

Two thirds of the men had said they also had problems with urination. These improved erectile dysfunction and high blood pressure
after they began the exercises.

Dr Grace Dorey, a specialist continence physiotherapist who carried out the research, told BBC News Online: “The exercises were found to be equally as effective as taking Viagra.

“Pelvic floor exercises improve function in a physical way, in a more natural way.

“Men should be doing cialis and erectile dysfunction
exercise. It really is use it or lose it.”

She said men should be exercising their pelvic floor exercises from puberty onwards.

Strength

A spokesperson for the Impotence Association said: “The value and effectiveness of pelvic floor exercises should not be underestimated when considering the management of sexual problems such as impotence and premature ejaculation.

“The exercises are thought to strengthen the muscles that surround the penis and improve the blood supply in the pelvis, which is an important factor in relation to erectile dysfunction.”

The Impotence Association helpline number is 0208 767 7791.

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Risqu TV, radio and billboard ads will be appearing across the UK from July to drill home the message to young people that smoking is not sexy.

One of the government-funded images carries the strapline “Your penis thinks you should stop smoking” to highlight the risk of impotency.

Ministers say fears about fertility and attractiveness are stronger man impotence for young people to quit than health.

A survey suggests one in two smokers would quit to improve their sex appeal.

The NHS Smoking Helpline questionnaire also revealed that more than two-thirds of young men and women believe smoking makes them less attractive.

Half of men said they associated smoking with wrinkles, bad skin and less enjoyable kissing.

Another of the ads shows stark images of the effect of smoking on women's appearance and attractiveness to men, with messages such as “If you smoke, you stink”, “Minging teeth” and “Cat's bum mouth”.

Websites called “Staying Hard” and Ugly Smoking” will also be launched, alongside a sticker campaign in pub and club toilets.

Public Health Minister Caroline Flint said: “This latest series of adverts marks a new and exciting route for the campaign.

“A key part of our drive to reduce overall smoking impotence natural treatment
is getting the message to impotence drug young adult audiences.

Hard-hitting

“We know 70% of smokers want to stop smoking; however, with younger people, fears about attractiveness and fertility can be a stronger motivation to quit than fears about health.

“It is hoped that the hard hitting messages in this new campaign will make young people quit smoking for good.”

One of the advertisements
Smoking can damage your teeth

Smoking increases the risk of erectile dysfunction by around 50% for men in their 30s and 40s and up to 120,000 men from the UK in this age group are impotent as a direct result of smoking, experts estimate.

Clive Gingell, chairman of the Sexual Dysfunction Dysfunction erectile impotence, said: “By making men aware of how smoking can affect their sexual performance in middle age, hopefully this new campaign should provide men with an additional and compelling reason to quit.”

Dr Bav Shergill, from the British Skin Foundation, said: “Giving up smoking can not only add years to your life, it also adds years to your appearance and can help stop premature aging before it's too late.”

However, Simon Clark, director of the smokers' lobby group Forest, said: “To try and suggest that smoking is a major cause of impotence is a scare tactic.

“It's nasty because it is not only setting out to de-normalise smoking, but really to make smokers feel incredibly guilty about their habit.”

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A Harley Street doctor has been cleared over his prescription of expensive impotence remedies which did not work.

Dr Moloy Prakash Sahu, who worked at the Wellman Clinic, 57 Harley Street, for a year, faced several allegations.

These ranged from providing treatment without medical impotence remedy to “impotence pill prescribing”.

The General Medical Council said his practice was “less than satisfactory” but did not amount to serious impotence and smoking
erectile dysfunction and young man.

'Boost'

The four-day hearing was held after three patients at the clinic complained to the GMC.

It heard that the average patient was given a three-month course of impotence treatment made up of vitamins, creams and washes, costing 1,500 to 2,000 - many of which were “useless if not dangerous”.

One of the three was prescribed a drug which, mixed with an anti-depression drug he was already taking, could have proved fatal.

That patient was also treated for a condition he did not suffer.

Dr Sahu denied it was “irresponsible” to prescribe the drug Yohimbin to one man, saying: “He had erectile problems and it is a medicine you can give.”

He also said his employers at the clinic insisted vitamin injections be given as a matter of policy.

Dr Sahu admitted the “harmless” injection was a placebo and that he never told patients it had no medical justification, but said it could give a patient “a bit of a boost”.

'Less than satisfactory'

Dr Sahu, of Walthamstow, east London, worked at the clinic as medical officer between July 2000 and June 2001.

He said he became “dissatisfied” and quit the post because the clinic was badly managed and poorly equipped.

Dr Sahu was cleared of failing to ensure his patients were given sufficient impotence exercise about their conditions, and failing to keep proper drug records.

The doctor was also acquitted of treating patients without the required expertise and failing to make sure patients gave proper or informed consent for treatment.

A number of other allegations were withdrawn following legal submissions.

The hearing's chairman John Shaw said: “These shortcomings taken together did not cross the threshold of serious professional misconduct.

“The committee therefore finds you not guilty of serious professional misconduct.”

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US states have been told they do not have to pay to provide the impotence drug Viagra to convicted sex impotence conditions.

The move comes after an audit found 198 convicts in New York state had been herbal impotence by Medicaid for the drug between January and March 2000.

Their crimes included offences against children as young as two.

The Medicaid programme, whose cost is shared by states and the federal government, provides health care for the poor.

The federal Centres for Medicare and Medicaid Services said they should not pay for erectile dysfunction drugs for sex offenders.

Spokesman Gary Karr said “states already have the power to determine if a drug is not medically appropriate for a certain patient or certain class of patients”, the Impotence treatment
Press news agency reported.

“Public risk”

The New York audit, conducted by Comptroller Alan Hevesi, did not cover other states, but Mr Hevesi said states are required by law to include Viagra in Medicaid programmes covering hypertension and erectile dysfunction
drugs when medically necessary.

He said the policy raised “serious policy over the counter impotence medication and has the potential to place the public at risk” and asked the government to take administrative action or amend the Medicaid law.

On Monday, Florida Attorney General Charlie Crist said that Medicaid had paid $93,000 to provide Viagra to 218 sex offenders in that state over the last four years, AP reported.

New York Senators Charles Schumer and Hillary Clinton have both indicated they back a change in policy.

Sen Schumer said: “It is just mind-boggling to think that Level 3 sexual offenders can get Viagra, which may indeed help them perpetrate other horrible crimes.

“Giving convicted sex offenders government-funded Viagra is like giving convicted murderers an assault rifle when they get out of jail,” Schumer said.

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