Small Cell Cervical Cancer Survival Rates

Last Updated on Wednesday, 12 October 2011 09:27 Written by Natural Health Team Wednesday, 12 October 2011 09:27

Health Information about Small Cell Cervical Cancer Survival Rates

By learning a little about these cancers you can know what actions you can take to possibly save your life or the life of someone you care about.

Small Cell Cervical Cancer Survival Rates

The most common cancer that women may have to face in their lifetime is breast cancer.  This disease can strike at any age, but it most common among women 40 and older.  There are certain risk factors that may dramatically increase your chances of getting breast cancer, such as a family history of breast cancer.  All women should know about breast cancer and what they can do about it.

The very best way to defend against breast cancer is to detect it as early as possible when it is much easier to treat.  Early detection is the best weapon against breast cancer.

All women should have yearly mammograms starting at age 40. All women should have a clinical breast exam at least once every 2 or 3 years for women in their 20′s and 30′s, and every year for women in their 40′s or older. Women should report any changes in their breasts immediately to their doctor. All women should perform a breast self-exam at least once per month starting in their 20′s.

Women who are at an elevated risk for breast cancer (women who have a family history of breast cancer, a genetic tendency, or have had past breast cancer) should learn about the benefits of starting cancer screenings earlier, or have additional tests such as a breast x-ray, ultrasound, or MRI.  These women should talk with their doctors about these options. 

Colon cancer can affect women as well as men.  Any adult can get colorectal cancer.  It is most common among people 50 years old and above.  If you have a personal or family history of cancer, or have polyps in the colon or rectum, or inflammatory bowel disease, then you are more likely to have colon cancer.  Other risk factors are a diet consisting of high-fat foods (especially foods from animal sources), being overweight, smoking, and a sedentary lifestyle.

Almost all colon cancer starts as a polyp in the colon.  If precancerous polyps are found and removed, then colon cancer has a great chance of being prevented.  Regular testing can find polyps before they become cancerous, and possibly save lives.

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Eat a low-fat diet with an emphasis on fresh fruits and vegetables to help prevent colon cancer. If you are 50 or older here are five recommendations about testing options. Yearly fecal occult blood tests (FOBT) or fecal immunochemcial test (FIT) is recommended. Every five years a flexible simoidoscopy is recommended. Combine yearly FOBT and flexible sigmoidoscopy every five years is the preferred option. Double contrast barium enema is recommended every 5 years. Every 10 years a colonoscopy is recommended. See your doctor and discuss these options and your risk for colon cancer. 

Endometrial cancer is cancer of the lining of the uterus and it occurs most often in women who are 50 or older.  Risk factors for this cancer are:

Estrogen therapy without also taking progesterone Using Tamoxifen for breast cancer treatment or prevention Early onset of menstrual periods or late menopause A history of infertility or never having children Obesity and diabetes Personal or family history of hereditary non-polyposis colon cancer are more likely to get endometrial cancer.

Signs and symptoms to watch for are unusual spotting or bleeding, not related to menstrual periods.  Report these to you doctor immediately.  At menopause, women should talk about endometrial cancer with their doctors.  Pap tests are not reliable for detecting endometrial cancer, only cervical cancer.  If you have risk factors for endometrial cancer, then yearly testing with an endometrial biopsy is recommended for women 35 or older.

Ovarian cancer is more likely to occur in women as they get older.  Other risk factors are women who have never had children or have infertility, or women who had their first child after the age of 30; women who had late menopause (after the age of 50); women who use hormone replacement therapy for more than 10 years; women who have had breast cancer.  Even if you do not have any of these risk factors, you can still get ovarian cancer.

Unfortunately, unlike getting a mammography to detect breast cancer, there are no proven effective tests to detect ovarian cancer early.  However, a pelvic exam should be a regular part of every woman’s health exam.  Here are some other possible warning signs to discuss with your doctor: persistent swelling of the abdomen, persistent digestive problems (gas, bloating, losing your appetite), abdominal pain, pelvic pain, back pain, leg pain, feeling like you need to urinate all the time.  If you have any of these symptoms, discuss them with your doctor.

If ever spend time in the sun, then you could be at risk for skin cancer – which means anyone could be at risk!  Fair-skinned, blondes or red heads are more likely to get skin cancer than those with naturally darker skin and hair colors.  Other skin cancer risk factors are having a close family member with a melanoma, and anyone who had a severe sunburn before the age of 18.

Skin cancer is one of the few cancers that can (mostly) be prevented!  Avoid being out in the midday sun for long periods of time.  Wear wide-brimmed hats, sunglasses, sunscreen and long-sleeved shirts.  Sunscreen should be SPF 15 or higher and you should use it on all exposed skin areas.  Don’t let your children get sunburned!  Regularly examine your skin all over your body and have your skin examined during your regular health checkups.

Women who have had sexual activity can get cervical cancer.  Risk chances are dramatically increased in women who have HPV (human papilloma virus).  HPV is passed on to women during sex.  You increase your risk factors as you get older, and if you don’t have regular Pap tests, as well as if you smoke, have HIV or AIDS.

Pap tests can find changes in the cervix which can be treated before they become cancerous.  Also Pap tests can detect cervical cancer in its early stages, when it is more likely to be curable.  All women should have regular cervical cancer tests after the age of 21 or within three years of beginning vaginal sex.  Testing should be done every year (for the regular Pap test) or every two years (for the newer liquid-based Pap test).  Starting at age 30, women with three normal Pap test results in a row can switch to testing every two or three years.  Talk with your doctor about how often you should have the test performed.  All women should take the newer HPV DNA test (talk to your doctor about it).

Smoking is the cause of over 80% of all lung cancers, but even people who don’t smoke can get lung cancer.

Lung cancer, like skin cancer, can often be prevented!  If you smoke – quit!  If you don’t smoke – don’t start!  Help and encourage others to quit smoking.

Early detection is your best weapon against cancer.  Visit with your doctor about your risk factors and what tests and screenings are recommended for you.  Doing these things could save your life!

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Cervical Alterations During Pregnancy in Small Ruminants

Last Updated on Friday, 7 October 2011 01:28 Written by Natural Health Team Friday, 7 October 2011 01:28

Health Information about Cervical Alterations During Pregnancy in Small Ruminants

The cervix uteri is a thick walled fibromascular tube connecting the body of the uterus and vagina. It a muscular organ composed of connective tissues predominantly elastic fibres. In the non pregnant ewes, the cervical canal is impassable except during oestrous. Five or six hard prominences within the canal assist the sphincter effect of the cervix (Nickel, Schummer & Seiferle, 1973). During the course of gestration, the length of cervix increases and in late pregnancy the wall becomes thicker, with an overall increase in the compliances of the tissues (Cloete, 1939; Abusineina, 1969). This may be related to disaggregation of densely packed collagen fibre in the cervix of pre-partum ewe. This paper will focus some of the important physical and microscopical changes occurred in the cervix of small ruminants during pregnancy

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The cervix separates the uterus from the vagina. During pregnancy, it seals and protects the embryo and fetus from the external environment. The gross and microscopic anatomy of the cervix has been studied by various workers. The casts of the inside of the cervical lumen shows its convulated structure consisting five to six circular folds and the second fold being eccentric  to the other concentric folds and acting as physiological barrier. The cervical fold in small ruminants varies from five to six folds. In cow four large circular and 15-25 longitudinal primary folds each with many secondary and tertiary folds are present. Cervical mucosa is generally characterized by longitudinal primary fold and most of which maintained continuity throughout the cervix.  Superimposed on these secondary folds which is varied in length and depth. Abundant shallow uniformity and parallel longitudinal grooves covers all surface.

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Three major changes generally observe in cervix during pregnancy. These are described as growth (physical increase in length and breadth). Softening (changes in tensile properties) and dilation to allow passage of the foetus. The study carried out by different workers showed that ovine cervix shows an increase in width and length in the later stages of pregnancy. The analysis of the constituency of cervices shows increase softening from the mid pregnancy and there after firmness of cervix losses.

A small increase in the degree of hydration of the cervix or dry weight at different gestrational stages has been reported by Fosang et. al. (1994), ward 1968. This may be due to increased tissue mass rather than increase in size of water content. However some author reported no significant changes/differences in water content of the cervices from non pregnant to pregnant animals. The physical chemical and histological properties of cervix are constant throughout the length of cervix. However, Basset (1958) reported morphological changes in the fibroblast of the broad and sacro-iliac ligament by the 60th day of pregnancy but this information is not supported on ultrastructural studies.

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Morphologically the most prominent feature of non pregnant cervix is heavy, densely packed collagen fibre interspersed with fibroblast (fig.3 ). Small blood vessels are present throughout the depth of the tissue, but most numerous in deepest layer. Smooth muscle bundle are running both longitudinally and transversely in the middle and deeper layer. The figure represents a wall of non pregnant cervix. The lining epithelium is low columnar and secrets neutral  mucin. The sub epithelial connective tissue is vascular and contains variety of cells including eosinophil, macrophages, mast cells and plasma cells. The greater proportion of cervical wall is composed of dense fibrous connective tissue consisting of compactly arranged collagen fibre with some fibrocytes and occasional fibroblast embeds in sparse ground substance. The individually arranged smooth muscle fibre forms an incomplete muscularies of which the outer fibre is longer and more prominent than inner fibre. The electron microscopically the collagen fibre shows very compact in arrangement and the scarcity of the ground substance and the presence of fibrocytes. Fosang et. al . opined that there is no significant changes observe between proximal, middle and distal portion of cervix irrespective of stain used. The best stain normally use for differentiation between collagen fibre and the smooth muscle bundle are Massons’ Trichrome stain, where the alignment of the collagen fibre along with villi shows projecting towards lumen. In general collagen fibre are large and closely spaced and are organized either longitudinally or obliquely. Section stained with Toludine Blue stain revels metachromatic staining along the collagen fibrils with strong staining of epithelial cells associated mucus. The morphological changes donot become apparent until quite late in the gestration period. The description of non pregnant cervix applied equally to the connective tissues observed in the early stages of pregnancy even to 100 days.  

Fig. Pregnant cervix showing

Fig: Dense Collagen fibre, inner circular & longitudinal muscular layer with epithelium H&E 4X

Fig. Central cervix Transverse section Loosening of epithelium and collagens layer H&E  (pregnant)

The histological section at 100 days of pregnancy revels no virtually distinguish alteration from that of non pregnant cervix (Calder et. al).  The tall columnar cervical epitheliums are the only changes represents in pregnancy and the secretions are a mixture of acid and neutral mucin. Acidity increases with the pregnancy age. Tissue breakdown and destruction of collagen networks is evident at 140 days of pregnancy. The cells are more widely spaced (empty area) and the collagen fibre losing their organization exposing smooth muscle cells. This can be best seen with Massons’ Trichrome. The infiltrating cell at this stage are lymphocytes and monocytes and few eosinophils. In late gestration increased fibroblast activity, smooth muscle hypertrophy, vascular edema and dissolution of collagen fibre bundle are reported by various worker. These findings contrasted with the rigid fibromuscular tissue observe in the non pregnant animals. The appearance of thinner fibre and empty areas between fibres in late pregnancy is lead to decrease concentrations of hydroxyproline in tissue. Collagen fibre dissolution in pregnant cervix has been extensively reported in several species and many authors have reported that active collagenolysis occurring during pregnancy may be the underlying mechanism of cervical softening. Ellowed et al (1981) have shown that ovine cervical explants produce both latent and active collagenase activity, with greater yields of activity in parturient tissue compared with the late pregnancy after 3-5 days in culture. Inflammatory cells invading cervix towards late gestration provide a potential source of collagenase and neutral protinease activity. Eosinophils also have been described as potential bearer of specific collagenase which may be responsible for collagen catabolism (Basset, 1972). At the term the disruption of collagen fibre are more even pronounced with virtually no large fibre remaining. In Haematoxyline & Eosin stain sectioned it sometimes appears very little or no collagen at all. But very little and small fibrils arranging random pattern are seen in Massons’ Trichrome stains. In this stage there is heavy infiltration of inflammatory cells among which eosinophils predominant. An area of haemorrhage is also a constant finding along with infiltrating cells. In late pregnancy there is complete network of subepithelial capillaries with a marked increase in the size of the vessels in the outer part of the cervical wall.

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Ultrastructuraly, non pregnant cervix reveals the typical dense connective tissue with collagen aggravated in closely packed fascicles and fibrocytes embedded in sparse ground substance. The ultrastructural characteristic in late pregnancy are presence of rough endoplasmic reticulum, mitochondria,plasmalemmal vesicle and extensive branching of individual fibres in contrast to the absence of these feature in muscle fibres of the non-pregnant cervix. This description is also similar to early pregnancy stage. The ultrastructural analyses of the cervical connective tissue reflects active changes in tissues, with a reorganization of the cervix prior to the functional changes at parturition.

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The biochemical analysis of hydroxyproline in tissue can be used for collagen concentrations. Study carried out by Regassa et al. (1983) shows the total collagen content of cervix at all stages of pregnancy is significantly greater than that of caruncular mean and the intercaruncular areas. The concentration of hydroxyproline is not changed in cervix during Ist trimester of pregnancy. However the concentration of hydroxyproline progressively decreases at days 100, 140 days and in post partum tissues as compared to the non pregnant tissue(Fosang et. al 1984). The concentration is same between proximal, middle or distal region of the pregnant and non pregnant cervix.

In conclusion it is summarized that uterine cervix of small ruminants became softer during the pregnancy and that some associated changes first appear in early gestartion. There is no significant changes in water content through pregnancy although light increases is associated with cervical size and softening of the tissue. Physical and histological properties are identical in all section along the length of cervix. The changes associated with increasing length of gestration are absolute increase in width and length, relative increases in fibroblasts, smooth muscle and softening; relative decreases in collagen and fibrocytes. But increased vascularisation without any white cell infiltration of the tissue is specifically associated with late gestration.

Abusineina M.E. (1969) Effect of pregnancy on the dimendions and weight of the cervix uteri of sheep. British Vet. J , 21-24

Amanda J. Fosang, Christopher J. H. Vivien S., Dennis A. L. and Geoffery D. T. (1984) pregnancy related changes in connective tissue of ovine cervix. Biology of reproduction , 1223-1225

Aughey, E, Munro, C. D., Calder, A. A., Coutts, J R. T. & Fleming, R (1981). The histology and ultrastructure of the pregnant sheep cervix uteri. J. of Anatomy , 448

Basset, E. G. (1958) Gestational changes in connective tissue. Nature , 196-197

Cloete, J.H.L. (1939) prenatal growth in the merino sheep onderstepoort journal  of veterinary science & animal industry , 417-543

Calder A.A., Aughey E. Coutts J. Fleming R and Munors C.(1983) Changes pattern of cervix on pregnancy J. Anat (1983) , 2 389-399

Ellwood D.A., Anderson, ABM, Mitchell and Turnbill A.C. (1981) Prostanoids, collagenase and cervical softening in sheep. Am. J. Obst. Gyneol. :281-287

Hollingsworth, M. (1981) Softening of rat cervix during pregnancy. In the cervix in pregnancy and labour- clinical and biochemical investigations (ed. D. A. Ellwood & A.B.M. Anderson) pp.13-33 Edinburg

K. June Mullins, R. G. Saacke (1988) Study of the functional anatomy of bovine cervical mucosa with special reference to mucus secretion and sperm transport Journal of Reproduction and Fertility (1979) 261-266

Karen Sohan , Rebecca Wiggins and Peter Soothill (1999), Cervical Physiology in pregnancy and labour. 11: 135-141 Cambridge

 More J (1984) Anatomy and Histology of the cervix uteri of ewe: A new insight Acta. Anat (basal) 120 (3). 156-9

Nickel, R., Schummer A. & Seiferle E., (1981) The viscera of domestic animals pp.358 and 361 berlin verlag Paul Pavey.

Regassa F. and Noakes D. E.(1983) Changes in the weight, collagen concentration and content of the uterus and cervix of ewe during pregnancy. J Biology , 221-25

Twin pregnancy in pictures. The song playing in the background is called “Sarah´s song” sung by Sissel Kirkebo, a Norwegian singer.
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Twelve Small Steps to a Healthy Life

Last Updated on Wednesday, 31 August 2011 11:11 Written by Natural Health Team Wednesday, 31 August 2011 11:11

Health Information about Twelve Small Steps to a Healthy Life

Most of us know how to live a healthy life. You may have your own definition of a healthy life. Here’s our definition:

(1) Exercise at least a half hour every day

(2) Get a good night’s sleep

(3) Avoid smoking and secondhand smoke

(4) Drink only occasionally

(5) Enjoy your work

(6) Enjoy the people in your life

(7) Eat fresh fruits, fresh vegetables and whole grains

(8) Eat fish two to three times a week

(9) Eat primarily organic food

(10) Eat meat and poultry occasionally, if at all

(11) Indulge yourself once in a while

(12) Laugh

Your definition of the healthy life may vary. You may not agree with eating an organic diet; you may entirely avoid meat; you may have fish once a week; you may eat meat every day. Whether or not your definition for a healthy life coincides with ours is not the focus on this article. Our focus is whether or not you live in accordance with your image of the healthy life. If you do not, we would like to suggest taking small steps to move you closer to your definition of the healthy life.

If you do live in accordance with your image of the healthy life, terrific. Good for you. We are glad for you.

If, however, you’ve defined a healthy life for yourself but do not live in accordance with your image of the healthy life, we hope you will read on.

You may know the changes you need to make to bring reality closer to your healthy life image. Still, you simply don’t make those changes. You continue to do what you do, and you say tomorrow. You say that you’ll make the changes tomorrow. The question is why we don’t make changes. Even if we think we should, we may not change. Are we slackers? Are we simply incapable of change? These are not the true reasons.

Let’s stop for a minute. I’d like a two-minute thought break. I’d like you to take a piece of paper. On the piece of paper, suppose you list six changes you want to make.

Why six ? That seems like a doable number.

You have a list of changes you want to make. Let’s talk about how to start making changes. Which of the six changes is where you want to start? And how do you want to start? You know yourself better than anyone. You know how you operate. The questions are what you have tried, what has worked and what has not worked. Suppose you want to stop eating meat. Suppose now you eat meat almost every day. One approach would be taking small steps. That is, starting this very minute no meat on Tuesdays. Next month, no meat on Tuesdays and Sundays.

The question is whether that would that work for you. The key to changes is one change at a time. Each change can be broken into small steps.

What works for us is a plan on a piece of paper. You don’t need to sketch out your entire plan if you, for example, want to stop eating meat. Suppose you just write down the first two steps you’re going to take. Your first step is no meat on Tuesday. Your second step may be no meat on Sunday. When you accomplish your first step, you will want to move on to your second step. Then you’ll want to think about step three.

Step three may be another small step. Suppose you’re not ready to move to three meatless days each week. You could decide that step three will be small pieces of beef instead of a sirloin steak. You could have small pieces on top of pasta or rice rather than a steak with pasta or rice on the side.

Suppose you want to lose fifteen pounds. You’ve tried dieting; you’ve tried fasting; you’ve tried groups. You could think in terms of small steps for losing those fifteen pounds. You could simply start with Wednesday night. Your small step could be a lighter dinner on Wednesdays. You could eat a salad with oil and vinegar, chili and a bowl of fruit with raisins, nuts and yogurt on top. After dinner on Wednesday you can have an apple or banana but no non-fruit snacks. Wednesday dinner and snack might be more than you could handle as a small step. You might just want to start with the after dinner snack and skip the modest dinner.

Changing patterns is not easy. Our small step approach may help you to get closer to what you want to achieve. We hope so.

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Vaginismus – Ways To Tell If Your Vagina Is Big And Loose Or Small And Tight

Last Updated on Tuesday, 3 August 2010 09:37 Written by Natural Health Team Saturday, 15 May 2010 12:27

Vaginismus – Ways to tell if Your Vagina is big and loose or small and tight

Does size really matter, well this would depend on what we refer too. If we talk of a young child in a fight, then yes, because no toddler is able for the teen, or if you`re hungry, then a small size food portion will not fill your belly. What on earth has this got to do with vagina`s you may well ask, “satisfaction” that`s what. Both instances are “unsatisfying” situations for the toddler and the tummy rumbler due to size restricting them from achieving, so this can apply to the size of the vagina also? If a person can get satisfaction from being well fed – or from beating their opponent, then why wouldn`t a person want satisfaction from their love making. Does the size of the vagina matter; yes it does if it interferes with, or stops you pleasuring in sex. If you or your partner gets no enjoyment while having sex because of looseness, then of course it matters. If you`re sure the problem is in your department and not about your partner having a small willy, then you need to look for a way to tighten your vagina.

Is there a way of telling whether the vagina is either big or small, and of a natural size? Vaginal size is not a topical subject, so chances of finding out anything from friends and family through girlie gossip, is zilch. The vaginal wall is elasticity so exact size can never really be ascertained. If the vagina is relaxed the vaginal walls collapse into each other. The diameter is less than one inch and the length will be around 3 to 4 inches. Vagina size alters when ready for intercourse. At this time the diameter of the vagina is not the same throughout the vaginal tunnel.

The narrowest part of the vagina is the opening which widens as it goes in deeper. Normally the front part of vagina has a size of one and a half inches. The deeper into the vagina you go the bigger the diameter. The back end is usually a diameter of 2 1/2 inches. The front vagina wall has the length of 2 inches and the back end is 3 totaling approximately 6 inches.

Some pregnant women after giving birth find there vagina may have stretched through intense expansion. Most of these women turn to Kegel exercises to bring back vaginal tightness. Issues in relation to a loose vagina and vulva size are common, so no need to be embarrassed. Go along and speak with your GP if you`re worried over this. If you’ve never experienced giving birth, then it’s highly unlikely that your vagina or vulva is too big. If you have been put off having sex because you have heard it stretches the vagina and makes it big, then you have heard wrong. What a load of codswollop, yes the vagina can stretch to accept the penis, but soon returns to normal size. Childbirth is a regular cause for vaginal looseness because it can affect dimensions, meaning, damaged muscles and other supporting tissues of the vaginal walls. Don`t be put off having children thinking this is a natural happening for women having baby`s, because it`s not, just ask the millions of moms the whole world over. There are things you can do to help prevent widening of the vagina by doing postnatal exercises that physiotherapists teach.

If the vaginal ‘barrel’ gives a feeling of largeness it can lead to the following effects:

” Unsatisfactory sexual intercourse.

” Likelihood of air getting into the vagina – known as ‘fanny farting’.

” Lax muscles and ligaments can lead to a prolapsed womb

If you want to tighten a loose vagina start by doing pelvic floor muscle exercises. Practice includes you tense the muscles at the front of the lower part of your body – as if preventing yourself from weeing, hold this contraction for 10 seconds then relax and repeat and keep up for 5 minutes. If possible do this 4 times a day. You can speak to a gynecologist to discuss the possibility of a ‘repair’ operation. This draws the weakened pelvic tissues together and firms everything up resulting in a tight vagina.

Some women on a huge scale tend “not” to worry over size as much as they do of appearance. These same women believe they have an abnormal vagina because their vulva is either too large or the labia too long, or that bits of it protrude unevenly. If you are one of these women it does not mean you have an abnormal vagina, what it means is, is you have one slightly different from others. Getting back to vagina size, we have women who think their vagina too small. Statistically this is most unlikely. Symptoms that show smallness: is

” Sexual intercourse pain

” Not able to have sex

” Discomfort inserting a tampon

Many women who feel vaginal tightness find it hard to accept that their vagina is normal-size after seeking medical advice. Vaginismus is a condition and the primary reason why women get mixed up for the smallness. Vaginismus causes the vaginal muscles to contract when intent on making genital contact. An internal examination is normal procedure carried out to clarify that this is the problem. Unfortunately with vaginismus a woman can do nothing to prevent the condition from happening because symptoms are entirely involuntary. Vaginismus can have a woman experience burning, pain, penetration problems, or complete inability to have intercourse.

The tightness is actually caused by involuntary contractions of the pelvic floor muscles surrounding the vagina. The tightness can be so restrictive that the opening to the vagina shuts altogether making penetration near to impossible for the man. As like with most conditions there can be several specific types, and this applies to vaginismus also. If a woman has always experienced pain while having intercourse due to this muscle spasm it is called “primary vaginismus.” Recognized suffering from this type is not able to wear tampons. Another type is the “secondary vaginismus” more known more for developing later in life. Women can have this after years of uncomplicated sexual intercourse. It is normally hurried along by a medical condition, traumatic event, childbirth, or menopause.

Vaginismus is curable and a condition not to be ashamed of. Your doctor is the person with all the answers if you need to know more. It is not a concern to deeply worry over, as treatment is pretty much straight forward. Vaginismus treatment does not require drugs, surgery, or any other complex persistent methods, so no need to hold back on seeking treatment and suffering any longer. Symptoms of vaginismus can include:

” Unintentional uncontrolled spasms of the muscles in the vagina

” Dread of pain

” Fear of penetration

” Loss of sexual yearning near to penetration

” Difficulty and pain, inserting a tampon, or penis

The quicker you address the issue about your tight vagina, then the quicker it will give you back the confidence to enjoy and have a wonderful sex life again.

vagina

Male Extensions – Circumcision And Penile Cancer – Small Dick Magazine

Last Updated on Sunday, 2 May 2010 03:33 Written by Natural Health Team Sunday, 2 May 2010 03:33

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