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New STD Treatment Guidelines

The new CDC sexually transmitted treatment guidelines have finally arrived and are available on line at www.cdc.gov/std . These guidelines are evidence based, and although they emphasize treatment, prevention strategies and diagnostic recommendations are also discussed. The guidelines present new information in several areas for both men and women, such as:

  1. Expanded diagnostic evaluation for cervicitis and trichomoniasis;
  2. New treatment recommendations for bacterial vaginosis and genital warts;
  3. Clinical efficacy of azithromycin for chlamydial infection in pregnancy;
  4. Role of Mycoplasma genitalium and trichomoniasis in urethritis/cervicitis and treatment-related implications;
  5. Lymphogranuloma venereum proctocolitis among men who have sex with men (MSM);
  6. The criteria for spinal fluid examination to evaluate for neurosyphilis;
  7. The emergence of azithromycin-resistant Treponema pallidum;
  8. The increasing prevalence of antimicrobial-resistant Neisseria gonorrhoeae;
  9. The sexual transmission of hepatitis C;
  10. Diagnostic evaluation after sexual assault; and,
  11. STD prevention approaches.

This web update will focus on what’s new regarding the diagnosis and treatment of non-gonococcal urethritis in men. However, several webcasts reviewing the Guidelines are available through the CDC’s STD website as well as the National Network of Prevention Training Centers’ website (nnptc.org). In our next web update we will discuss treatment approaches for Neisseria gonorrhoeae infections.

WHERE TO BEGIN: THE FIVE P’s:

The four principal outcomes of STD therapy for each individual disease are treatment of infection based on microbiologic eradication, alleviation of signs and symptoms, prevention of sequelae, and prevention of transmission. Often in the clinical setting, the patient presents for alleviation of signs and symptoms and the clinician’s job is to determine what the infection may be, what tests to order, what treatment to give, and what prevention and risk-reduction messages to impart to the specific client. This process begins with a sexual history which should be taken in a nonjudgmental and empathetic manner which is appropriate to the patient’s culture, language, sex, sexual orientation, age and developmental level. 2010 STD Treatment Guidelines, nicely outlines the five P’s of a good sexual history: Partners, Prevention of pregnancy, Protection from STDs, Practices, and Past history of STDs. Although we usually consider pregnancy prevention questions mainly for women, men should be queried regarding prevention of pregnancy also. Although this may not be pertinent for men who have sex exclusively with other men, assumptions should not be made without asking about partners: “Do you have sex with men, women, or both?” Getting the “Five P’s” information will also inform what interactive counseling approach the clinician will choose that can be directed at the patient’s personal risk, the situations in which risk occurs, and the use of personalized goal-setting strategies that may be effective for his STD/HIV prevention (2,3).

References

  1. www.cvdc.gov/std/treatment/2010
  2. Lin JS, Whitlock E, OConnor E, et al. Behavioral counseling to prevent sexually transmitted infections: a systematic review for the U.S. Preventive Services Task Force. Ann Intern Med 2008; 149:497–9.
  3. U.S. Preventive Services Task Force. Behavioral counseling to prevent sexually transmitted infections: recommendation statement. Ann Intern Med 2008;149:491–6.

SizeGenetics Canada – Makes You Confident

Do you want to get hold of the best-sized penis that can boost your self-confidence? Get one of the devices from SizeGenetics Canada! They have the most dependable penis enlargement device that will help you obtain the size of penis you ever wanted to have.

When you decide to purchase this device, you’ll get a penis extender, prosolution pills and volume pills. The medical grade penis extender helps the penile tissues to expand within a certain period of time. Although this would take some time but you are guaranteed with the permanent results. You will feel comfortable using this device. While your penis is being lengthened you feel and realize that everything seems natural and not forced. It also comes with prosolution pills that will all throughout the growth development.

It effectively works in such a way to get more blood circulation within your penis that pushes growth. You will also get an all natural volume pills that will help develop your sexual enhancement which enables you to experience better and fulfilling sex.

You will then become the hero of your woman because you can give her most pleasurable and fulfilling orgasm.

With SizeGenetics Canada penis extender package, you are guaranteed for the best results. Your penis will grow several inches in just few weeks. You will never be humiliated again because you can already brag your best-sized penis.

Burn Fat on Tummy

If you want to burn fat on tummy you are not alone. When it comes down to it, there are millions of people from all over the world who would like to look and feel better. And of course, one of the best ways to do this is by burning some of the fat that is on their tummies. Although this may seem easy enough, the fact of the matter is that to burn fat on tummy there are quite a few things that you may need to do.

The first thing to take into consideration is that there are many ways that you can burn fat on tummy using the Flex Belt system. If you do not look into every possible option there are some mistakes that you may run into later on down the line. You have two ways to burn fat on tummy, and both of them can work to your advantage.

First off, if you want to burn some of that fat you will want to look closely at your diet. Are you eating a lot of junk food? How about fast food? By cutting out food that is bad for you, you will have a much better chance of actually burning the fat that you are building on your tummy.

The actual burning process will come by exercise. You can do everything from stomach crunches to walking or jogging. Anything that will help you to burn calories will help you to lose weight that has built up on your tummy.

All in all, to burn fat on tummy you need to take a close look at your personal situation. The more that you know about yourself, the better chance you will have when it comes to seeing results. The most important thing to remember is that you need to take a close look at your diet, and also exercise on a regular basis. If you do this you will be well on your way to burning excess fat on your tummy.

OTC Alternatives to Phentermine – Latest Craze

Phen375 is regarded as one of the best fat burners that are available in the market today. This diet pill has been preferred by million of people to meet their weight loss goals. The reason why people buy phen375 is that it provides an extensive fat loss reduction for anyone who wants to lose weight. This OTC diet pill is a combination of the different aspects of weight loss which includes enhances metabolism, eliminates excess glucose, burns fat quickly and suppresses appetite. These aspects make this die pill a very powerful weapon that combats weight loss. It can help a person to lose about 4 lbs per week.

The other reasons why people buy Phen375 are that this diet pill has been approved by the FDA and it has also passed many clinical tests before being launched in the market. This makes this supplement very safe to use and it is without any side effect. The ingredients that are used in this diet pill work independently after being tested separately by the FDA. Due to these reasons, phen375 is considered as the best selling fat burner in the market today. This diet pill provides extensive weight loss solution for people who want to lose weight by the way of calorie and fat burning process.

Therefore, the weight of your body can be reduced quickly and safely. The ingredients of this diet pill are all natural and thus the chances of having any kind of harmful side effects are considerably reduced. The results of using this diet pill has given positive outcomes which proves the effectiveness of the product for a person who wants to lose weight with the best weight loss supplement. It is a safe fat burner that has also been proved safe to use and thus you can buy phen375 if you want to lose weight.

WalkFit Platinum Orthotics: No More Foot Pain?

The feet are among the most over-used parts of the body. They carry most of the body weight, and therefore it’s not surprising to know that the supporting structures such as joints and cartilages are worn out easily. Aging, as well as daily activities, greatly contribute to the wear and tear of these structures, and as a result, many suffer from foot pain. Everyone occasionally experiences foot pain which should just subside after a period of rest. However, if you don’t engage in any vigorous activities, and are not diagnosed with a specific medical condition which presents foot pain as a symptom, is it normal to experience continuous or repetitive foot pain?

It is not, so there might be some significant contributing factors which make the feet always tired and achy. Some of the identified factors which cause foot pain include problems in the legs, hips and even the legs. The pain in these areas of the body radiates to the feet, which is why it is perceived as foot pain. One way to address this problem includes the use of orthopedic footwear which may be prescribed and advised by an orthopedic doctor. But before utilizing the services of a specialized physician, which also implies higher expense, a lot of people get relief from foot pain by using specially designed insoles known as orthotics.

WalkFit Platinum Orthotics Total Pain Therapy

The use of shoe insoles was already proven as an effective relief for foot pain. Walkfit Platinum is a specially designed orthotic which provides the most efficient way to address foot pain. But what exactly are orthotics and what mechanism do they use to alleviate foot pain symptoms?

Orthotics are specially designed shoe insoles which function to restore the feet’s natural function. Many foot pain complaints do not have any organic cause, which means they were not caused by damage to the supporting structures in the feet or any medical condition. Rather, they are brought about by improper body movement. Complaints such as heel, knee, and lower back pain can be attributed to improper foot movement, and orthotics work by realigning the foot and ankle bones, back to their natural position to restore the proper foot movement. Once the proper foot movement is restored, alleviation of pain from other parts of the body which is indirectly caused by improper foot movements will follow.

By providing shock absorption, Walkfit Platinum distributes the body weight evenly all over the foot and takes the pressure from sore spots. This feature minimizes the effects of walking, running and even standing. Walkfit Platinum is scientifically proven to reduce pain levels in the feet, hips, knees and back an independent clinical study revealed that WalkFit Platinum technology relieved foot pain in 90% of users.

Currently, over 5 million men and women take advantage of the benefits of using Walk Fit Platinum. They walk, play and work pain-free as a result. Dr. Allen Selner, a Doctor of Podiatric Medicine and an expert in foot biometrics recommends the use of WalkFit Platinum. He said that by using WalkFit Platinum, the body is in better balance with stability and comfort. To enhance its pain relief function, Walkfit Platinum now has a new improved design. For advanced cushioning and shock absorption, a unique gel pad was added to the Bio-Lock heel cup. A reflexology massage insert was also made available to realign the spine and pelvic area reducing the knee, hip, and lower back pain.

Benefits of WalkFit Platinum As Cited By People Who Have Used Them

A lot of satisfied customers testify to the effectiveness of using Walkfit Platinum. Usage aligns the back and shoulders, relieves lower back pain and reduces stress on knee joints. It also balances the hips for easier movement and cradles the feet to improve stability.

Many customers can attest to the efficiency of Walkfit platinum in alleviating foot pains. But are there any downsides with this product? Our research shows that some customers have complained that Walkfit Platinum does not fit in some shoes though all we can say is that this is rare, and they seem to fit into almost all shoes.