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Granulomas

Also called “contact ulcers,” granulomas are discrete lesions that occur on the back portion of the vocal fold where it attaches to the arytenoid cartilage.

• Some common causes include laryngopharyngeal reflux (LPR), constant throat clearing, and irritation from an endotracheal tube (the tube placed in the throat for breathing during a surgery under general anesthesia), which can rub against the back of the larynx.

• Symptoms include throat pain, throat clearing, and a change in voice.

• Diagnosis involves collecting symptoms and a visualization of the vocal folds to find the granuloma lesion.

• Treatment for granuloma depends upon the size of the lesion and the length of time it has been present. The contributing factors need to be controlled as surgery by itself will often result in the regrowth of the lesion in a short period of time. Initial treatment will require control of reflux as well as optimization of vocal hygiene with hydration and minimizing of coughing and throat clearing. Occasionally voice therapy will be necessary. For lesions that do not respond, as an alternative to surgery, in-office laser treatment or vocal fold botox injections may be successful.

• Prognosis for a granuloma is excellent; provided the patient controls the contributing factor, the granuloma generally will go away in a few weeks or months.
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In this Mayo Clinic Men’s Health Moment, Mayo Clinic Urologist and head of the male infertility clinic in Rochester Minnesota, Dr. Sevann Helo, discusses post-vasectomy pain syndrome. For more information on services our Men’s Health team offers see our website at https://menshealth.mayoclinic.org/.
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This video explains why the dating market is doomed to lead us to an increasingly serious mating crisis.

The mating crisis we’re facing has its roots in the sexual revolution of the 1960s. Women’s time was liberated by technologies like the electric washing machine and vacuum cleaner, and so, when the birth control pill came along, women were free to pursue educational and economic success for the first time in history.

It wasn’t long before women started to overtake men on the educational front, and now, in 2022, women in their 20s are beginning to leave men behind on the financial front, too.

While this is obviously good for women in certain respects, it’s having a devastating effect on the modern dating market.

Why? Because women are hypergamous, which means they’re biologically wired to select sexual partners who are as competent, or more competent, than they are. Hypergamy is a good thing, for if our female ancestors had been inclined to have sex with and reproduce with men who were unable to defend or acquire resources for them, our species probably would’ve died out a long time ago.

But now that women are on the road to becoming the high-achievers in the social order, hypergamy is preventing many men and women from finding suitable mates, because a large pool of women find attraction in only a very small pool of highly promising or successful men.

This reality is playing out on modern dating apps like Tinder, where a few guys get all the girls. This incentives the few high-status men to sleep with as many women as they can. This new dating market, in which many women date a small number of men, and many men date nobody at all, is what we call hookup culture. Needless to say, hookup culture makes very few people particularly happy.

The mating crisis isn’t helped by the fact that young men are rapidly dropping out of college. And they can’t be blamed, because many colleges are trash. But women with college degrees generally want to hookup with men who also have college degrees, as it’s a signifier of conscientiousness and a promising future.
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Son sustancias que destruyen los espermas disminuyendo el riesgo de embarazarse, se pueden conseguir en diferentes presentaciones.
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Goodies: https://geni.us/webster-dictionary

Title: mating

The action of animals coming together to breed; copulation.

In the first part of the study, we investigated size-dependent mating in the field.

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Estudo interativo realizado por Alexandre Camargo [Terapeuta Transpessoal] e Espírita. Campina Grande PB. Atendimento como profisisonal dentro de fora do Brasil. Contato alexandrexavierc@gmail.com
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If you’ve had a vasectomy, but are interested in having more children, know what your options are. In this video, Mayo Clinic Urologist, Dr. Sevann Helo, compares vasectomy reversal to in-vitro fertilization. She also discusses what your options are if your vasectomy reversal fails. For more information on the services our Men’s Health team offers, see our website at https://menshealth.mayoclinic.org/.
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