every journey begins with the 1st step and every language with the 1st word published in the book. rico is in germany to learn german why not with him it's simple online on your mobile and free shop d w z e learning course nikos speak german meeting c. . welcome to in good shape coming up. hearing loss why more and more young people are affected. our main topic today mail impotence how to treat erectile dysfunction but 1st sports trends how to make your workouts more fun. and here's our host dr kasten. hello and welcome to in

good shape prevention is the best medicine and to live a healthy lifestyle it's important for you to work out and exercise like me i'm riding my bike through berlin and if you don't own a bike and if you don't live in berlin you can try this. if you lose a few home for cool the idea behind parks or is that there's no road map you find your own way and technical. school children got cut in theory at least there are no rules you just propel yourself from point a to point b. and. fussing at me to fascinates me because i feel free. i don't have to think about anything else there's nothing else just me.

it's not like go with the circuit training but you do traditional exercises like sprints push ups whatever gets your heart pumping you know equipment just whatever makes a fitter. intensity exercise in short bursts which gets your heart rate up and things you want to have soon come i'm working out as a group is motivating trying to push ourselves and of course the trainer also me to make sense to keep going i've lost the fat bit of weight and i look slimmer to. a lot of. splitsville or paul is like ice hockey without the ice there are different versions like when using a wide goal we're playing an amateur version with

a small goal when both men and women and it's a fast paced game where you run a lot and have lots of fun but. to call it common for i discovered when my filter started playing. in this amateur team is great because my girls come along and we can all play together under the mines and i'm fine. in the beginning i was scared of playing with the men. there's a physical. it's a big difference. but now i really enjoy it and it's got me to push my own boundaries that the sureness of things and the great thing is you're not alone they're nice people and that's what i like most of. something to do it should mean for me jumping means enjoying exercise to the point where i'm now almost addicted to it and i come here all the time so i can just go wild on the trampoline.

post and say helps me cope with the everyday stress we all have to deal with the months ahead when i come here and it just washes away. and just not have it built stamina so i end up having more energy to be active at other times too. and that's really great and when i leave here i'm tired and happy should i be. calmed down does a new kind of workout that combines cardio training with strength training stick you use rip sticks which are kind of drumstick. and what i like about pound is the music and it's really good feel wasted. fine legs and back saeed i by now i can last through the entire workout without taking a break between songs it's a basin which. each.

exercise not only protects you from diabetes or cancer it protects you from erectile dysfunction as well that's what a study from the german society for sports medicine and prevention says. impotence is a catastrophe for men and it's wrong to only ignore it you should talk about it like i will do this dr partick here in the heart of philip. said. it's not embarrassing to talk about impotence. dr partic we live in a society where success is mandatory but a man's penis is not always sharing this opinion so when do you have to see a doctor when you think that you're getting impotent the penis is a very complex organ and. it depends from

a lot of different influences of your body hormonal influences nerve influence was rescued or influences and so on while function and erectile dysfunction may be an early some time of severe diseases so one should be aware if something doesn't doesn't if it doesn't function like one wants to have it but not every not everything is a real problem so one should say take a good awareness for this problem and one should go to the doctor if one has both the balls and does irritate dysfunction just by the older man not only saw you the older you get. the worse some functions of the body work but that's. that's the truth but also in young people and young men erectile disfunction kind of cure we'll continue our talk in just a moment and a lot of causes for erection dysfunctions and impotence and one cause might be the

consumption of pawn movies it could be that paul movies just mess around with your fantasy a little bit and when it comes to real life sex they get disturbed and a little bit bart but most of the cases it is just physical problems or emotional problems. this couple have been married for over 20 years they love each other very much and their sex life is still important to them but for the past 6 months thomas has been suffering from erectile dysfunction and that's a problem for both of those. as vying to kind of like the problem wasn't that i couldn't get an erection i just wasn't able to maintain it for long it lasted for about half a minute not enough to have intercourse and if it doesn't work down there anymore then you start to get the feeling that you're only half a man. does hurt me it was very depressing. it lowered my confidence and my self esteem that it was

a cycle of negativity and i ended up wondering if i did something wrong was hard to come out. at 1st i tried to find their own solution. things didn't. believe and as the a reptile this function has increased by 30 percent and we're also seeing more men asking for a prescription for vioxx or a similar medication there's been a dramatic increase over the last 10 years seen young bands and artists who were numb and yes definitely there are more men experiencing problems and more men asking for medication foughten about a year from i forgot i'm 6 is an ever present factor in modern society with no room for failure but we know that stress and the pressure to perform contribute to impotence. of the men give his men feel the pressure to perform at any time also from the media in the expectations are too high and they don't want to fail that

often men on won't do much mr. barlow therefore finding it hard to relax which is crucial for achieving an erection once the brain detects an erotic stimulus that causes nerves to relax the muscles in the penis this causes the blood vessels to dilate and the erectile tissue to fill with blood. of the same time the blood flow slows down the penis becomes erect. in order to have a reliable erection and a fulfilled love life again thomas started looking for help on the internet as do many men. but half of all drugs are available online or counterfeit that's according to an investigation by german pharmacists a major health risk for customers who avoid going to the doctor and pharmacist due to embarrass them and or because they can't afford the prescriptions.

there's no such thing as a good counterfeit there's no standardized or regulation but there are 2 kinds of fakes to watch out for. some of them are similar to the original buy and contain the meds but often in smaller doses so you would expect a smaller effect. but other counterfeits i made say in someone's garage where they even might have paint likes to them and a potentially lethal. means but when the sack. has decided to buy the pills abroad . not taking them. i was concerned about any undesirable side effects that could happens with side effects that i didn't want to have masses of what if your blood pressure goes out of control or your heart suddenly start. or something else really awful happens after. thomas summoned up his courage and went to

a urologist to find the cause of his impotence perhaps it was due to a serious illness. a lot of men with impotence issues who don't go to a doctor or have undetected diseases a man who thinks he has a problem with his potency might actually have coronary heart disease. in the worst case scenario that means a danger of a heart attack thomas had a complete checkup his blood work was fine so was his testosterone level a scan of the blood vessels in the abdomen growing penis so that everything is also fine physically. so it's safe for him to take medication the dialects the blood vessels and an erection the doctor encourages thomas to try it out and it works. as is and of course it's a big relief it still works and i can imagine perhaps not needing the medication

after a while and then everything will get back to normal so none of us response and fact we don't legally it. get us through this knowing that makes it easier to be together knowing that we have a solution and that it's going to be our. well i don't have personal experience with him pretends but what's the right doctor i could send my patients to abuse a part of the euro genital tract of your genitals or tractors. our business off the garage just right there are some specialized you are just called and drawl are just internationally i think it's important to go to a doctor was a lot of experience with a special organ penis and with erectile dysfunction also and what sufficient do. the physician to do some physical examination is 1st as ultrasound to the ultrasound the so-called color coded graffiti you can make the vessels

and the blood stream inside visible and you can see exactly how the blood flows in and i would flows out and see the difference between this ball for floors before emerging in some cases not all case but in some cases you have to do hormone or examinations also to look for the hormones like testosterone and so on and what causes reduced blood flow into the penis the penis is influenced by 3 systems the home of the system the nervous system and the best of the system and most important is the rescuer system the vessels can get influenced by different diseases and number one disease is diaby just the diabetes mellitus is the number one. producer of let's say for a school. diseases overall and the 2nd one is hypertension these both diseases can cause damage as a result of the heart and soul of the penis also so if you see

a patient who has some impaired blood flow into the penis does it mean that you could also have heart disease then yes of course this is very important everyone who comes to me into my. practice will be sent to a cardiologist to the cardiologist looks for the vessels in the heart if they are functioning rightly or not and if we think about younger men you are not very likely to get a heart attack or have healthy west of the i think so what's the main cause for. young government psychological it's a deterioration kind of cure this may be fear this may be anger it was maybe you depression all sorts of there are a lot of influences were not good for the actor function. ok and what you sent those men to a psychiatrist yes i think we have

a lot of experience with this younger people but if i see that there is a. psychological disease or psychological i would send them away to a psychologist course but even if the man is very young he could still have physical problems could. be just can start very young with 1718 years and also hypertension and there are some neurological diseases like multiple sterol those which can start in the youth and it's possible. neurological diseases may make only erectile dysfunction and no other symptom it's possible we'll continue our talk about treatment of dysfunction in just a moment and the 1st thing you think about treating erectile dysfunction is by agra this was introduced maybe 20 years ago and it was a given utian in treating erectile dysfunction. the blue pill that still generates huge sales for its manufacturer today it was launched in the u.s.

20 years ago it became the best selling drug in history although my aggro required a prescription and a single tablet cost between $8.00 and $10.00 suddenly more and more men wanted to increase their potency. the active substance sildenafil was originally being tested as medication for high blood pressure and heart complaints but it caused a surprising side effect among male test participants they got erections my address stimulates the blood circulation in the a reptile tissue in addition it inhibits an enzyme so that the penis doesn't soften too soon. from the outset the blue pill was also in big demand elsewhere but until official approval 6 months later in germany for example it had to be ordered at great expense from the u.s. . by hagrid is now prescribed in over 120 countries more than 3000000000 tablets have been sold since its launch.

so how many men can be helped with those potency pills the pills do only influence the vascular inflow into the venous if something is wrong with nerve. steering them they want to help so there was one group one important group of. dysfunction these men had had prostate operations or operations and the law. and the nerves was tearing directions are destroyed so for these patients. the previous 5 inhibitors will not help so what about side effects of those potency pills it's their danger i mean they're even reports that some men have died after taking. a question if they have died of. died of after sex so we don't know that exactly there was a small. of men who should not take on a fear these are men who have to take my trades. or

drugs because of their heart disease so this is berlin and this is the plays in germany to party and many men are taking vague as a lifestyle drug so is the suitable. years it is no also in young men you can. increase the blood flow of the penis versatile enough to yield and. also young men can profit by having longer erections and repeated erections also i think there are other drugs more dangerous and so than a few what we have to warn for as a party drugs are the party drugs speed whatever you can get the. one thing i'm wanting for you if you if you buy in a pharmacy it's ok if you buy it at a deal on a party you locations you do not know what he gives you sometimes there are dangerous drugs mixed into these fields so this should not be done as a lifestyle what role does testosterone play in dysfunction this is what all of you

are. from to michelle and no testosterone as the male hormone which is orgasm we need that if you have no source around you get we. don't work really you get to get depressive you have no. more normal sexual interests and so on so it's very important to look for the testosterone in every man who has an erector just function and how about natural remedies even something called horny goat wheat. i think the most known as you. study is that the works but not in severe direct erectile dysfunction if you have a mild or moderate form then you can contrive it and if i don't want to buy any pills or don't want to. try out honey go tweet and you can even perform surgery on patients with potency problems if the drugs do not work then you can have

surgery vascular surgery is an old style and the modern surgery is implanting devices into the penis to have a prosthetic surgery and you've got one implant with you yes there's a typical hydraulics for implant 2 cylinders which are implanted into the penis and the corporate body is a pump which is implanted into the straw. which comes into the space and if the man wants to have an erection just to pump just to take further from food in his fingers that everything is inside the body you can't see it from outside and if you problems you will transport the water from the reservoir into the rods and you can see how there gets bigger and now they are not bent over there this is an artificial erection thank you so much and you've got a great technical device to tell talking about your computer and you can fire it up

and send me all the questions. on an upcoming show we'll be looking at food supplements canned fruit and vegetables give us enough nutrients or are tablets the answer if you have a question about this send it to me in good shape d w dot com don't forget to write nutritional supplements in the subject line we look forward to hearing from you. there are medical conditions where no pills or remedies can help for instance when your hearing gets bad and almost fine mechanisms in your ears deteriorate the best and most gifted g.p. cannot help you so it's very important to take good care of your ears. wide. in the past doctors warned of the harm to hearing from discotheques and rock concerts now in the age of smartphones

the parts that people use to constantly listen to music pose a new risk. even children use them we decided to ask some young people on the street how loudly they turn up the volume when they listen to their favorite she wants. to have 5 minutes for us sure no problem philip miller listens to electro and techno music. for the test hearing a consultant. for austin's approach microphone to his ear and covers it with headphones experts say listening to noise levels of 80 decibels for several hours a day is already a problem. here we have an average level of around $85.00 decibels that puts us in a range where industry for example if you work for a whole week or 8 hours a day then you probably really have to wear hearing protection. i wasn't so aware

of this problem i worry about a lot of other things but not explicitly about what i'm hearing experts say. that the other participants in our test don't seem to worry about their hearing either they all listen to loud music for several hours a day experts recommend 2 hours at most. i didn't realize that it could lead to such damage long term. most new if phones indicate the volume range that's considered safe. on the phone as color coded so once it shows red you're in an area where it's not so good to wear earphones for an extended period of time. max could still listen to music loud music. which happened when i was doing the right download a program on to my headphones so i could make the sound on my laptop even louder 13 . today he has problems with his hearing.

a much much been a copy of i'm with friends in a bar or somewhere i usually stand like this recording of looking to the floor of the table trying to hear better with one ear a lot i still don't understand everything. but if i were the 1st of the 21 year old wants to get an expert opinion on whether he's hard of hearing and takes a hearing test at the doctor's he's exposed to a series of sounds increasing in pitch and has to press the button as soon as he his them. another test checks whether the sensory receptor is in the in the ear for sustained damage when sound waves enter the hearing to now they're transmitted to the inner ear via the ear drum in the middle east or the head like receptors that convert the waves into electrical impulses that are related to the brain via the order treanor if there has cells are damaged by excessive stimuli your hearing is impaired. and one's in the basically there are 2 factors the level of sound

pressure or how loud the noises either in the workplace or when i hear loud music and then the duration of exposure every day and that adds up when to assume your duty. max current has some hearing loss but his inner ear is not damaged now he only listens to music for one or 2 hours a day on headphones and he takes breaks. anyone who wants to listen to more music than not should listen to moderate volume and without headphones the shorter the distance from the source of the sound to the ear the stronger the effect on the drum. then. once you have noise induced hearing loss there is no treatment that will reverse it. basically the only thing that will help you as a hearing aid most of all but remember that not even the best model will restore your hearing 100 percent so the best thing is to avoid loud noises from.

that said 1st i may see you next week and until then let's all try to stay in good shape.

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. cut. cut. cut. cut. this is news one from. relent mexico avoids potentially devastating u.s. terrorist with a last minute deal on migration president trump says planned levies on mexican goods are suspended indefinitely after mexico agrees to do more to stem the flow of migrants crossing its territory also coming up. oceans are crucial to sustaining life but they face mounting problems like plastic waits for world oceans day our reporter goes to sierra leone to see what's.