Viagra (sildenafil citrate) ensures that with sufficient erotic stimulation, I can maintain an erection for an hour.

I will need the tongkat ali extract to have a mind full of sexual fantasies to stay sufficiently interested in intercourse for an hour (or actually, several hours); otherwise I would have no use for the "cold" erection caused by the sildenafil citrate.

And the cabergoline is what gets me lost in excitement. If I have cabergoline in my blood during intercourse, time becomes indistinct, and I can have a pre-orgasm plateau phase that extends for 5 minutes, constantly aware that just one or two powerful thrusts will send me off.

However, the cabergoline also gives me much better control over the orgasmic release point, and thus allows me to withhold again and again and again.

While the combination of Viagra, tongkat ali extract, and cabergoline allows me to have intercourse for up to an hour, the downside is that being tensely erect and having intercourse for that long greatly increases the likelihood of fissures of the mucous skin of the penis shaft, as if the male organ were not built for that much friction.

I have never, not even during my early twenties, felt so engulfed in lovemaking as I do now, at the age of well beyond 50, provided I have combined some Dostinex, some tongkat ali extract, and some generic sildenafil citrate.

I have no problem to go on with intercourse for an hour, and I remain totally focused (which is the contribution of the tongkat ali extract). And when I reach orgasm, it is with a power that marks the difference between a dribbling ejaculation and a half-a-meter shot.

Dostinex really is the libido wonder drug.

And mind you: cabergoline doesn't just work for men. It has the same sexualizing effect on women. This is the case because it acts not on those sexual organs that differentiate men and women, but on mankind's primary sexual organ, which is not located in a person's groin but on top of his neck: the brain.

While Viagra is useful primary for men, and while for testosterone (or tongkat ali extract), starkly different dosages are proper for men and women, cabergoline can be used for and by women just in the same manner, in the same dose, and with the same effect as it is used for men.

Actually, because male sexual problems are often just erection-related, while those of women usually are libido-related, the potential that Dostinex has in the treatment of female sexual dysfunction exceeds its potential as a libido enhancer for men.

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Labiaplasty

Labiaplasty (sometimes spelled labioplasty and sometimes referred to as labia minor reduction or labial reduction) is plastic surgery of the labia majora and/or the labia minora, which are the external folds of skin surrounding the structures of the vulva. The procedure involves reducing elongated labium. When labia are created where there were none, it is usually part of a vaginoplasty.

Labiaplasty reduces the size of one or both sets of labia. It may also be employed to repair the labia following disease or injury, or especially after childbirth. In addition, a hoodectomy may be performed at the same time, which exposes the clitoris in an attempt to increase sexual stimulation. Hoodectomy is sometimes used to treat sexual dysfunction such as anorgasmia.

As recently as 1999, surgeons usually performed labium reduction by straight amputation of the protuberant sections and then by suturing the edges together. However, this procedure sometimes created a fragile and stiff suture line as well as eliminating the natural contour and pigmentation of the labia minora. Moreover, other procedural and clinical problems existed with amputation that did not ensure a favorable outcome.

Several years later, more surgeons introduced lasers into their armamentarium and began using more refined surgical procedures like one known as inferior wedge resection and superior pedicle flap reconstruction. In one outcome study, surgeons studied the results of 20 patients undergoing labiaplasty via the procedure. 95.2 percent of patients at 46 months reported being very satisfied. While five complications cropped up, all but one were handled immediately postoperatively and did not require additional hospital stays or interfere with healing.

Labiaplasty is almost always an outpatient procedure performed under local anesthesia. After surgery, patients may experience some mild discomfort and swelling, which usually disappear completely after one to two weeks. Recovery times ranging from three days to one or two weeks are often listed on surgeons' websites.

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Cabergoline and testosterone

Version 1.1, July 2002

Most dopaminergic drugs do have an effect on testosterone. This is caused by the dopamine agonist’s power to inhibit the hormone prolactin. Prolactin has a negative-feedback function in the regulation of testosterone. Increasing levels of prolactin typically cause testosterone synthesis to drop, which is why hypogonadism often accompanies pituitary tumors that express themselves in increased prolactin levels.

Cabergoline is one of the strongest prolactin-inhibiting drugs around. One should therefore suspect that it causes testosterone levels to rise. I have received the following inquiry from a woman in Australia; her account of what happened to her suggests that cabergoline may indeed cause testosterone synthesis to rise sharply. The mail is quoted with permission, though name and email address are withheld.

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What is a breast implant?

Is a prosthesis used to enlarge the size of a woman's breasts (known as breast augmentation, breast enlargement, mammoplasty enlargement, augmentation mammoplasty or the common slang term boob job) for cosmetic reasons; to reconstruct the breast (e.g. after a mastectomy; or to correct genetic deformities), or as an aspect of male-to-female sex reassignment surgery. According to the American Society of Plastic Surgeons, breast augmentation is the most commonly performed cosmetic surgical procedure in the United States. In 2006, 329,000 breast augmentation procedures were performed in the U.S.[1]

There are two primary types of breast implants: saline-filled and silicone-gel-filled implants. Saline implants have a silicone elastomer shell filled with sterile saline liquid. Silicone gel implants have a silicone shell filled with a viscous silicone gel. There have been several alternative types of breast implants developed, such as polypropylene string

Patients seeking breast augmentation have been reported as being usually younger, healthier, from higher socio-economic status, and more often married with children than the population at large. Many of these patients have reported greater distress about their appearance in a variety of situations, and have endured teasing about their appearance. Studies have identified a pattern (shared by many cosmetic surgery procedures) that suggest women who undergo breast implantation are slightly more likely to have undergone psychotherapy, have low levels of self-esteem, and have higher prevalences of depression, suicide attempts, and mental illness (including body dysmorphia) as compared to the general population. Post-operative surveys on mental health and quality of life issues have reported improvement on a number of dimensions including: physical health, physical appearance, social life, self confidence, self esteem, and sexual function. Longer term follow-up suggests these improvements may be transitory, with the exception of body esteem related to sexual attractiveness. Most patients report being satisfied long-term with their implants even when they have required re-operation for complications or aesthetic reasons.

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Severe mitral valve regurgitation with fatal cardiogenic shock in a patient on long-term cabergoline treatment.

University of Heidelberg, Heidelberg, Germany.

The use of ergoline dopamine agonists for treatment of Parkinson's disease has recently been associated with the development of valvular heart disease. We here report the case of a patient who revealed severe mitral valve regurgitation and refractory cardiogenic shock during treatment with cabergolin in the absence of other causes for valvular disease. To the best of our knowledge, such a rapid progression and ultimately fatal outcome has not been described yet. Our case reemphasizes that patients with long-term administration of ergolines should be closely monitored for valvular degeneration.

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Cabergoline-Associated Erythema Nodosum (February).

School of Medicine & Health Sciences, University of North Dakota, Bismarck, ND; Rheumatologist, Specialty Clinics, St. Alexius Medical Center, Bismarck.

OBJECTIVE: To report a case of erythema nodosum (EN) and related inflammatory arthropathy in a patient on cabergoline therapy for a microprolactinoma. CASE SUMMARY: A 25-year-old white female, who had been receiving cabergoline 0.5 mg orally once per week for the preceding 2 months for a microprolactinoma, developed classic skin lesions of EN (proved by histology) and an associated acute inflammatory arthropathy of her left ankle joint in the absence of any other identifiable causes of EN. She improved substantially (skin lesions of EN and inflammatory arthropathy disappeared) after cessation of cabergoline therapy. Rechallenge with cabergoline in a lower dose of 0.25 mg orally once per week led to a milder recurrence of EN lesions that once again disappeared after withdrawal of the drug. She had not had a recurrence at a 3 month follow-up visit. DISCUSSION: Although possible autoimmune adverse effects (pleuropulmonary and cardiac) have been reported with the use of cabergoline, to the best of our knowledge, this is the first case report of EN (panniculitis) associated with cabergoline therapy. Causality assessment using the Naranjo probability scale revealed that the adverse drug event was probable. CONCLUSIONS: Cabergoline was probably associated with EN (panniculitis) and the related arthritis in a patient being treated for a microprolactinoma. Panniculitis, like EN, needs to be considered a possible

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Pseudolarix amabilis

is a monotypic genus in the family Pinaceae. The sole species, Pseudolarix amabilis is commonly known as Golden Larch, though it is not a true larch (Larix), being more closely related to Keteleeria, Abies and Cedrus. It is native to eastern China, occurring in small areas in the mountains of southern Anhui, Zhejiang, Fujian, Jiangxi, Hunan, Hubei and eastern Sichuan, at altitudes of 100-1500 m. Golden Larch is sometimes known under an old scientific name Pseudolarix kaempferi, but this may cause confusion with Larix kaempferi, the Japanese Larch.

It is a deciduous tree reaching 30-40 m tall, with a broad conic crown. The shoots are dimorphic, with long shoots and short shoots similar to a larch, though the short shoots are not so markedly short, lengthening about 5 mm annually. The leaves are bright green, 3-6 cm long and 2-3 mm broad, with two glaucous stomatal bands on the underside; they turn a brilliant golden yellow before falling in the autumn, whence the common name. The leaves are arranged spirally, widely spaced on long shoots, and in a dense whorl on the short shoots.

The cones are distinctive, superficially resembling a small globe artichoke, 4-7 cm long and 4-6 cm broad, with pointed triangular scales; they mature about 7 months after pollination, when (like fir and cedar cones) they disintegrate to release the winged seeds. The male cones, as in Keteleeria, are produced in umbels of several together in one bud.