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Many visitors to our website Potty Training and Bedwetting Solutions wonder what the different treatment options are between bedwetting and potty training. This article explores the causes and some treatment options for bedwetting. Causes of bedwetting The most common reasons for a child suffering from bedwetting are as follows: developmental delays (as mentioned earlier), genetics (same here), sleep disorder (such as sleeping too deeply), behavior and psychological disorders, anatomy, antidiuretic hormone levels. The most commonly accepted, but also hardest to prove, cause of primary nocturnal enuresis is maturational delay of the central nervous system. Basically meaning that the child’s nervous system doesn’t sense that the bladder needs to be held, and the urine is released during sleep. Sleeping disorders make up a very large percentage of children who suffer from bedwetting, and there has been extensive research done on the subject, but there have been such varying results, that it is hard for researchers to determine a primary sleep disorder that can be determined as the main cause for bedwetting. Some people believe that bedwetting is mainly caused behaviorally, which leads to the issue of psychological consideration- some studies have shown that psychologically children who suffer from nocturnal enuresis have essentially the same behaviors as children who don’t, while other studies have concluded the opposite. In those studies that show psychological differences between the two groups, the differences have mainly been that a child who has a bedwetting problem is less social and has more self-esteem issues than the other group. This begs a question though: do the low self-esteem and social issues go hand in hand with bedwetting children, or does the bedwetting lead to these types of psychological situations in these children? Family history is also very important, and many studies have shown results that deem it almost conclusive that if a parent suffered from bedwetting as a child, there is a very strong chance that their child will. In fact, one study showed that in a family where both parents suffered from this condition, there was a 77 percent chance that their child would do the same. This is a helpful finding, because it helps dispel the theory that enuresis is a behavioral problem. In turn, this makes it more acceptable, and causes slightly less frustration and guilt, which can lead the way for a better outcome following therapy. Treating bedwetting In the beginning of trying to deal with a bedwetting situation, you may opt to try different methods of battling it without the interference of doctor or medical care. Whether or not medical intervention will be necessary depends largely on many factors, including such issues as the child’s age, how often they actually wet the bed, and the perceived severity of the problem by the child’s family, and most children actually do outgrow bedwetting, never needing treatment for it by a physician at all. Many parents use night time diapers to battle bedwetting, and while these work great in preventing the bed from getting wet due to the accident, they actually do very little in the way of helping resolve the issue. Although it is obviously very important to focus on this part of bedwetting, it is also very important to try to prevent future occurrences. This is why is a good idea to try and step in as early as possible to use many basic methods of prevention. Then, when these don’t work, you may decide to take your child to the doctor. You should know, though, that children younger than six years of age are usually not treated by doctors if bedwetting is the only problem. Once you have decided to take your child to a physician concerning bedwetting, it is important to know that it may take a long time to actually reach the ultimate goal of completely accident-free nights. It is a long process in which both the parent and the child must remain dedicated. There are two methods which doctors utilize to deal with bedwetting problems: behavioral therapy and medicine. It is extremely important that the parent and child be as cooperative as possible, and be willing to try the doctor’s suggestions. If anyone has a bad attitude about the situation, it can make solving the problem a whole lot harder, if not impossible. When you first take your child to the doctor, they will most likely want to rule out any medical conditions in the very beginning. While most of the children who are seen by physicians regarding bedwetting are perfectly healthy, some actually do have a medical condition. So, before a doctor will approach it as if they don’t, they will want to make sure that this really is the case. The evaluation the doctor does on your child should be geared toward ruling out anatomic abnormalities of the urinary tract or bladder. These can include such situations as posterior urethral valves, an ectopic ureter, or an epispadiac urethra, which is a urethral opening on the dorsum of the penis. When the doctor does a thorough exam, which will include gathering family medical history, a physical exam, and a urine evaluation, they are usually able to determine whether or not there is a medical condition and, if there is, what that condition might be. When, and even before, your child is being medically treated for enuresis, it is an excellent idea to keep a diary of bedwetting episodes. Along with this diary, if the child’s bedwetting does not occur repetitively on a nightly basis, it is a good idea to write down anything that might have occurred that day to upset your child’s normal psychological balance. Once the doctor has determined whether there is, or is not, a medical condition contributing to your child’s bedwetting situation, they can determine which methods of treatment will best help them. Again, it is important to remember that consistent follow-up can be a key to improvement in bedwetting (it is also good to know that improvement is usually defined by most doctors as a 50 percent decrease in the frequency of bedwetting episodes). Your doctor may decide to use just one method of treatment or both in conjunction with one another. The behavioral methods can, and usually do, include the following: an alarm system, a reward system, asking your child to change the sheets, and bladder training. An alarm system Bedwetting Alarms can be an excellent tool for helping by retraining your child’s sleeping patterns so that they sleep more lightly, and wake up more often during the night, allowing less time for an accident to occur. You can set these for a certain amount of time and have your child get up and try to use the restroom every time the alarm goes off. A reward system can also be a very successful method of behavior therapy, especially once the child has learned new sleep patterns and is having less frequent accidents. Giving them either a small reward each day after a dry night, or a large reward at the end of a certain length of time, such as an entire week of dry nights, can help give your child even more incentive to try to wake up at night. Having your child change the sheets is also an excellent way to help keep them from having as many bedwetting nights. While it is never good to punish a child for something they have little to know control over, this is not punishment, and is instead a way for them to learn that they have to be responsible for their actions, even if those actions occur while they are sleeping. This also works well because they are having to get up out of bed and be pulled from the deep sleep more often, which in turn can lead them to sleep more lightly on a regular basis. Bladder training is another form of behavioral therapy that can help limit bedwetting nights. This is defined by, during the day, having your child hold their bladder for longer and longer periods of time. They may always go to the restroom immediately when they feel the urge to go, and so when they are in a deep sleep, that is how their body reacts when that urge hits them. If you teach your child to hold it for as long as they can when the urge comes while they are awake, they are more likely to be able to hold it subconsciously while they are asleep. If behavioral therapies do not work, and only if the child is 7 years of age, or older, medicines may be prescribed. Medicines work best in conjunction with behavioral therapy, because they are not a cure for bedwetting. They also may have side effects. If you do decide to go with medicines as a treatment option for your child, there are two common kinds, one of which your doctor will likely prescribe. One of these helps the bladder hold more urine, and one helps the kidneys make less urine. Obviously, these are not the types of drugs you will want your child to have to take consistently for the rest of their life. Instead, they are best when used temporarily in conjunction with the behavior therapy mentioned earlier. Helping your child cope with bedwetting Not only should you try to help your child overcome their bedwetting problem, but you should also focus on helping them to understand it and not feel quite so bad about it, if at all possible. Your child likely feels very ashamed at being a bedwetter. They may also feel guilt for not being able to control their body in a way that they feel they should. This is very likely in older children. You should never punish your child for this problem. It is very important to remember that your child cannot help it. Again, the older the child is, the more this applies, and your child is likely even more irritated about it than you are. You should try to not make your child feel any more guilt about it than they already do. It may also help your child to know that no one really knows the exact cause of bedwetting, because there are too many factors that have to be considered in each case. Explain to them the many different causes that might be affecting their situation, and the fact that these reasons are not their fault, and that you will help them overcome it. Tell them as much information as is necessary to help them be able to deal with it without thinking less of themselves. For instance, if you wet the bed as a child, be sure and explain this, while also informing them that it can run in families. This might help take some of the pressure off and relieve some of their guilt. Just remember, this is a rough time on both you and your child, and you should use whatever methods necessary to dispel your bedwetting difficulties. Keeping the right no-fault attitude can definitely help, as well as having an open mind to suggestions for treatments, and being dedicated to whatever ways you decide to treat bedwetting and/or potty training. penis enlargment supplement homemade penis enlagement best penis enlarement vigrx side effects vimax enlargement manhattan penis surgeon free pnis enlargement do penile enlargment pills really work enargement forum free matter penis size
Who is the master? Your penis or you? Does your penis sleep when he wants to? Learn how to maintain your penis erections and controlling your premature ejaculation moments. Learn to get to know this muscle called the Pubococcygeal (PC). This is the muscle that helps maintain your erections and your ejaculations. Do not let your penis control you any longer. Both men and women have this muscle. This is the muscle that can shut off your urine flow. When you urinate and stop the flow of your urine, the pubococcygeal muscle is what you are working with when you stop your urine flow. Men who experience premature ejaculation and/or leak urine when you sneeze or cough should learn how to strengthen your pubococcygeal (pc). If you learn how to strengthen this muscle, this will help in avoiding the above problems. If you are leaking urine or any ejaculation problems, then you need to put a stop to this right now. Learn to be in control of your erections and ejaculations. In making the pubococcygeal muscle stronger, you will improve the intensity of your erections and ejaculations. You will improve the blood supply that goes through your penis. Better blood circulation through the penis is better erections overall. You will also improve your erotic pleasure. You will intensify your physical sensations and excitement for you and your partner once you learn how to strengthen this muscle. You can exercise the pubococcygeal muscle by tightening and holding back on this muscle for a count of three. Then relax, then tighten again for a count of three. Repeat this exercise 10 times, 5 times a day. Now, do not perform this exercise when you are urinating. I have only show you where to locate this muscle when you urinate only. Again, when you urinate and stop the flow, this is the pc muscle you are working with. You can do this type of exercise anywhere. Standing on the line at the bank, at work, home, anywhere, and nobody will know that you are exercising this muscle. Only you will know. Here are the signs that you need to know if you need to make your pubococcygeal (pc) muscle stronger. A. If stopping the flow of your urine is difficult, then you have a weak pc muscle. B. If you have poor posture, then you may have a weak pc muscle. C. You can not have intercourse longer than 3 minutes before ejaculating. D. Urine leakage when you sneeze or cough. It is a true fact that 85% of men can not have intercourse longer than 3 minutes before ejaculating. This is due to a underdeveloped and weak pubococcygeal muscle. Having a weak pc muscle causes weak erections, weak ejaculations, impotence and premature ejaculation. Learning to control your ejaculations will help in developing a stronger pc muscle. Developing good muscle tone of your pc muscle will help improve your ejaculation control and will enhance your lovemaking pleasure between you and your partner. A strong pubococcygeal muscle gives more blood to the genitals making erections come more easy. Start exercising this muscle. You will gain full erections every time. You will also satisfy your lovemaking activities and naturally this does enhance one's self esteem. Wake up and control your penis. Do not let your penis control you. Learn to control your erections and ejaculations. The pubococcygeal muscle is the organ of energy. Exercise it and control it. And do not let your penis sleep when he wants to. Who is the master? I will leave this up to you. penis enargement traction device free penis enlarement tip penis enlargement fact enlargement manhattan penile surgeon home penile enlargement vimax vimax free natural penis enlargement penis enlargment fact home pnis enlargement
Prostate gland ailments are common among men of all ages. Inflammation of the prostate gland leads to various disorders in the urinary system of men. Prostate is a nut shaped sex gland in men. It lies beneath the urinary bladder. Any swelling or disorders in functioning of the gland cause many diseases. Enlargement of prostate gland is BPH or benign prostatic hyperplasia. This disease is common among more than fifty percent of men in the age group of forty-sixty. Incidence of the disease increases in men over the age of eighty. Prostate gland encircles the urethra and disrupts flow of urine from the bladder to the penis. Enlargement of the gland will stop normal flow of urine. The best way to avoid any prostate gland ailments is to consume large quantities of water. Reduce cholesterol levels through lower intake of fatty substances. Increase intake of essential fats present in mackerel, flaxseed, haddock, salmon, and cod. Consume more of vitamin C and zinc through natural dietary supplements. Benefits of Prostate Supplements If you develop prostate gland problems, you can take suitable prostate supplements, easily available at various medical stores. Some of them include Pumpkin seeds, Saw palmetto, Nettle leaves and roots, Alisma rhizome, Pygeum bark, Cornus fruit, Dioscorea root, Prepared rehmannia root, Cinnamon bark, and Poria Fruit. • Saw Palmetto is among the leading prostate supplements. This fat-soluble extract of the saw palmetto berry contains essential biological chemicals to check your prostate problems. Urologists in Italy, German, and France profess many successful prostate treatments using saw palmetto. • Pumpkin seed is rich in zinc. It nourishes and heals all prostate disorders as those in the urinary tract too. It increases urine flow and reduce problems of irritating bladder. • Consumption of nettle roots and leaves increases urine flow. It yields best results in combination with pygeum bark and saw palmetto. It is very rich in chlorophyll and contains many alkaloids. These alkaloids neutralize uric acid, the main cause for all prostate problems. The anti-inflammatory properties of nettle roots and leaves can help you from any symptoms of enlarged prostate. • Pygeum Bark decreases urination at night, increases, and regulates urinary flow during daytime. Many herbal remedies for prostate gland ailments use pygeum bark with saw palmetto. You can also use it as a preventive against any prostate ailments. • Alisma Rhizome helps improve bladder functioning. Cornus Fruit improves health of liver and kidneys thereby improving the health of your prostate gland. Prepared rehmannia root purifies blood and is a kidney stimulant. Better kidney functioning means lower incidence of any prostate ailments. • Dioscorea root is a nutritional supplement to treat your kidneys and lungs. It reduces incidence of frequent urination and other seminal fluids. Cinnamon bark increases body warmth and boosts digestion of fatty substances. Therefore, it improves functioning of kidneys and circulatory system of your body. Overall, all prostate supplements promote healthy functioning of bladder, kidney, and other prostate organs. These prevent enlargement and swelling of prostate gland. They improve and promote healthy flow of urine without any burning sensation or pain while urinating. Prevention is better than Cure Various preventive measures for reducing occurrence of any prostate problems are to have a balanced diet with higher consumption of fruits and vegetables. Reduce intake of fatty substances and increase intake of vitamins and minerals. Regular exercises can also do the trick. Additionally, consumption of green tea is very beneficial for all your prostate problems. For more information on this topic, you may visit http://www.BioRelief.com BioRelief.com provides detailed info and comprehensive reviews on the best prostate supplements available. pennis enlargement system best enhancement exercise penis natural penis enlargement pills penile enlargement pic free pnis enlargement video penis elargement picture vimax natural penis enlargement pills magnarx home pnis enlargement
Years ago, men in our culture pretty much accepted whatever they were dealt in the sexual department, and they certainly didn't talk about their problems or concerns. Today, men aren't willing to live with uncertainty, embarrassment or feelings of inadequacy when it comes to sex -- and fortunately, they've found there really is something they can do about it. With the advent of prescription drugs for impotence, men began to question their long-held beliefs that sexual problems were just something you had to learn to live with (or deny). But prescription drugs aren't for everyone, and indeed, most men have concerns that can be addressed more simply and inexpensively than with doctor's office visits and subsequent pharmaceutical prescriptions. Now men have another option: all-natural male enhancement supplements. Anyone who's been watching TV or using the Internet lately knows these products are out there, but few know how they work or which products do work. So let's take a look at how these products do the job and what makes them effective for hundreds of thousands of men. Quality male enhancement pills contain a number of botanical and natural ingredients that come from around the world, with proven anecdotal records of success in increasing libido, empowering sexual drive and function, and creating greater stamina and erection hardness. Today, even medical doctors, typically resistant to herbal and naturopathic healing, now endorse natural formulas for male sexual enhancement. The best formulas out there contain scientifically tested, potent aphrodisiac herbal concentrates from China, Europe and South America to successfully stimulate sexual activity, maintain a firm erection and increase sexual pleasure. First, they promote peripheral tissue vasodilation to improve arterial erectile function. The ingredients have a direct effect on the endothelial cells, which enhances blood flow of both penile arteries and veins without any change in the systemic blood pressure. Some formulas also have the ability to relax and tonify the nervous system, which is necessary to deal fully with psychological stressors present. When looking for a good supplement, you may come across many of the same ingredients in many of them -- however, keep in mind that it is not only the specific components, but the blends, proportions and formulation that make a difference. Here are some of the herbs commonly used, and their effects in the male body: Epimedium Leaf Extract Epimedium was discovered in 200 BC. Legend has it that an ancient Chinese goat herder noticed that his flock suddenly became sexually active after grazing in a certain patch of weed. The Chinese consider Epimedium to be the premier libido lifter for men. It is also reputed to have a testosterone effect, to stimulate the sensory nerves and restore sexual desire. After centuries of use in China, top medical doctors now report that Epimedium can be used to boost libido, improve erectile function, restore sexual power and increase sensation. Scientifically, Epimedium works by freeing up testosterone, which naturally increases sex drive and endurance. Cuscuta Seed Extract Cuscuta is frequently used in long-term tonic programs, most commonly to strengthen the uro-genital functions. It is used to treat premature ejaculation, frequent urination and leukorrhea as well as aching lower back, symptoms that often accompany deficient kidney conditions which cause sexual weakness. Cuscuta seed is also widely used to nourish the sperm and marrow and strengthen sinews of the sexual organs. It is used to increase fertility in both men and women, and is listed as an aphrodisiac in all traditional Chinese pharmacopoeias. Ginko Biloba Leaf For over 5,000 years, Ginkgo has been prescribed in Chinese herbal medicine. In the last 30 years, more that 300 studies have given clinical evidence that Ginkgo prevents and benefits many problems throughout the entire body. Ginkgo is gaining recognition as a brain tonic that enhances memory because of its positive effects on the vascular system, especially in the cerebellum. Ginkgo improves peripheral circulation, oxygenation, and increases blood flow to the genitals to improve sexual function and the power of an erection. In a recent scientific study, 78% of men with non-medically caused impotence problems reported significant improvement - significantly, with no side effects. Ginkgo has been shown to be nutritional support for mental alertness, enhanced vitality level, circulatory health and blood vessel health. Note that its high antioxidant activity is valuable for fighting age-related conditions. Ginkgo may help to counteract the effects of aging, including mental fatigue and lack of energy. Asian Red Ginseng - Panax Ginseng Ginseng is traditionally used to overcome general weakness and deliver extra energy. It also has aphrodisiacal powers. Used to combat non medically caused impotence, and premature ejaculation, Ginseng helps normalize blood pressure while rejuvenating and revitalizing the body. It also promotes the growth of nerve tissue. A key ingredient of Ginseng is ginsenoside, which alters blood flow to the brain and penis and can build blood and sperm. Russian scientists have reported and recorded that Ginseng stimulates both physical and mental activity, enhances athletic performance and has a positive effect on the sex glands. Saw Palmetto Berry - Fructus Serenoae Native Americans and early American settlers used Saw Palmetto to treat problems associated with the genitals, urinary tract and reproductive system. This herb is called the "plant catheter" due to its therapeutic effect on the neck of the bladder and the prostate in men. Saw Palmetto is widely used in Germany, Canada, the United Kingdom and the U.S. for nutritionally benefiting the prostate and urinary tract. Saw Palmetto is a tonic, and is one of the few herbal remedies that are considered to be anabolic -- strengthening and building body tissues. The Saw Palmetto berries have long held a reputation as sexual stimulants and aphrodisiacs. Their largest use today is as a supplement for reducing enlarged prostate glands, treating urinary tract problems and for improving body strength. Saw Palmetto has shown significant action in treatment of conditions associated with benign prostatic hypertrophy (BPH). Saw Palmetto extract works to prevent testosterone from converting into dihydrotestosterone, the hormone thought to cause prostrate cells to multiply which leads to an enlarged prostate. Saw Palmetto inhibits androgen and estrogen receptor activity and may be beneficial for both sexes in balancing the hormones. Because of its hormonal effects, Saw Palmetto can aid the thyroid in regulating sexual development and normalizing activity of those glands and organs. Muira Pauma Bark Extract Muria Puama is an herb from a shrub native to Brazil, otherwise known as "Potency Wood". Both verbal and written historical records show that Muria Puama helps with lack of sexual desire and the difficulty to maintain erection. Muria Puama is used to restore sexual virility and to treat genital weakness "of intent", meaning the strength associated with sexual desire and potency in men. The textbook Specific Indications for Herbs in General Use, published by the Southwest School of Botanical Medicine, lists benefits of Muria Puama to these specific body systems: Improvement in reproductive system function, adrenal stress, cardiovascular system function, central nervous system activity, renal activity, and thyroid stress. Recent clinical studies further validate the potency of Muria Puama. Catuaba Bark Extract Catuaba has a long history in herbal medicine as a male 'strengthener' and aphrodisiac. The Tupi Indians in Brazil first discovered the qualities of the Catuaba plant and over the last centuries, have composed many songs praising its wonders. Indigenous people and local people have used Catuaba for generations and it is the most famous of all Brazilian aphrodisiaca plants. In the state of Minas there is a saying which goes, "Until a father reaches 60, the son is his, after that the son is Catuaba's." According to Dr. Meira Penna, Catuaba "functions as a stimulant of the nervous system, above all when one deals with functional impotence of the male genital organs... it is an innocent aphrodisiac, used without any ill effects at all." In Brazilian herbal medicine today, Catuaba is regarded as an aphrodisiac with "proven efficacy." Herbalists and health practitioners in the United States use Catuaba regularly as a tonic for genital function, as a central nervous system stimulant, and for treatment of sexual non medically caused impotence. According to Michael van Straten, noted British author and researcher of medicinal plants, Catuaba is beneficial to both men and women as an aphrodisiac, but "it is in the area of male impotence that the most striking results have been reported" and "there is no evidence of side effects, even after long-term use." Hawthorn Berry - Fructus Crataegi This phytochemical, with exceptional preventive capacities, comes from the hawthorn tree. Hawthorn is rich in bioflavonoids, which relax and dilate the arteries. These compounds are powerful antioxidants that help increase the flow of blood and oxygen to the heart. This reduces the work required by the heart to circulate blood, and in- turn this reduces blood pressure and stress to the heart muscle. The bioflavonoid substances in Hawthorn give strength to the walls of blood vessels and improve blood flow to other areas of the body. Components in Hawthorn have also been shown to lower cholesterol, and the amount of plaque in arteries. Officially approved for pharmaceutical use in Germany, government studies show the Hawthorn plant to be completely free of any side effects. European studies have shown that the Hawthorn botanical increases blood flow to the heart and brain, protects the heart from irregular beats, enhances the strength of the heart's contractions, and mildly lowers blood pressure. Other botanicals appear in male sexual aids, as well; its advisable to research the effects. The ingredients shown above are the "gold standard" however; they can be found in the correct proportions in a very popular supplement called VigRX™. It goes to work directly within the male genitalia, with effects on hormonal levels, blood flow and the responsive cells of the penis. The VigRX™ supplement is probably one of the best out there, given its proprietary formula in which ingredients are correctly proportioned and then made into tablets in a certified pharmaceutical grade laboratory. The company that produces VigRX™ has been in business for years, right from the beginning of this breakthrough in male enhancement products. When choosing a male enhancement formula, keep in mind these criteria: quality, guaranteed potency, guarantee of satisfaction, full disclosure of ingredients and a good track record of customer results. 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Medically speaking, and also by some studies, there is a strong case for keeping the penis intact. Is circumcision a good idea or not? There is a case for circumcision, and it is based on a study done by this author with 46 men, circumcised after their 25th year. The Survey The men who participated in the survey were all mature men over 25 years of age, have had sex with and without circumcision, and were able to comment directly on the difference in sexual gratification, illness, and proclivity to masturbate. Of the 46 men, 31 were recent converts to the Jewish faith, 19 to Islam, and 6 had the procedure done for medical reasons. The Survey Questions: 1. Is your sexual experience (a) greater, (b) the same, (c) less, after circumcision? 2. Have you noticed any difference in your incidence of genital infections since your circumcision? (a) less, (b) more, (c) no change. 3. If you masturbate, has circumcision (a) made no change in your masturbating habits, (b) you masturbate less, or (c) masturbate more. The Results Question #1 was answered by 32 men (a), 10 men (b), and 4 men (c) Question #2 was answered by 35 men (a) 0 men (b) 11 men (c) Question #3 was answered by 23 men (a) 20 men (b) 3 men (c) The Results Interpreted On question #1, an overwhelming majority agreed the sexual experience was more than before circumcision. This is a very subjective question, and to compare, a man would have to had sex with and without a prepuce. No amount of conjecture on the nature of the prepuce can supplant the opinion of those who had it and then did not. The fact that approx 70% said that their sexual experience was greater without a prepuce is significant. The fact that 91% said that is was greater or the same is very significant as a case for circumcision. On question #2 the same majorities exist, and even a stronger case for circumcision is made. Using the studies and reasons for not circumcising men are fairly well refuted here. Question #3 is not very clear, as the men’s masturbating habits are not clearly defined. An old excuse for circumcision is that it would discourage men from masturbating, but this question seems only to have determined that recently circumcised men either masturbate the same as they used to (before circumcision) or less. This would tend to confirm one reason for circumcision. Conclusions While the above survey does not follow scientific method in its strictest form, it does have something to say from men who knew the situation before circumcision and then afterwards. You can certainly make up your own mind as to the conclusions, but statistically, it would seem that circumcision is a good idea, rather than a negative one. It appears the circumcised men are enjoying their sexual experiences more than they used to, are healthier, and if they masturbate, are still masturbating.