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These pills, widely available online, contain compounds that are harmful to men suffering from heart and kidney disruptions. The Ministry of Health and Prevention (MoH) issued warnings about the risks and severe side effects linked to sexual enhancement supplements, which are widely, yet illegally available via online purchasing.
The ministry named a variety of dangerous supplements, which are not registered with the MoH, and could affect men with heart conditions and high blood pressure.
The virility supplements include Macho Man 3000, Triple X 2000, Premium Zen Gold, Own the Knight 1750, and Love Zen 3000.
Although a warning has been issued about the dangers of using the supplements, many appear to be available for online purchase on websites around the world, including eBay.
Macho Man 3000 is sold for as little as $7, Triple X 3000 is available for $12.99, Premium Zen Gold for $167, Own the Knight for $28, and Love Zen 3000 for around $40.
The World Health Organisation (WHO) reported that more than 90 per cent of supplements sold online are fake.
Millions of the supplements, which are often tainted with dangerous chemicals, are often not tested on animals, nor humans, and little data has been produced to support their safety.
Last July, the MoH issued a warning against unauthorised supplements, and said that it is in daily contact with the US Food and Drug Administration (FDA), and other international health authorities, for the alert on any new cases of harmful substances.
"The warning is meant to protect the people from trade fraud for the safety of their health," said Dr Hussain Al Amiri, Assistant Undersecretary at the Ministry, who is also Chairman of the Supreme Committee for Pharmaceutical Vigilance.
The MoH also listed a whopping 392 counterfeit virility supplements in 2015.
UAE doctors weigh-in their concerns
Dr Georgie Thomas, Specialist - Cardiologist, Burjeel Hospital, said, the major concern is the wide varieties of "shady pills" available online.
"People don't talk much about how they are getting hold of these drugs, but you will find a lot of so-called 'herbal' supplements online."
He pointed out that sexual dysfunction is 80 per cent psychological and 20 per cent physical.
"The majority of men buying these pills don't have any organic sexual dysfunction, they have a psychological dysfunction."
He stressed that the pills available online often contain medical compounds, (sildenafil, vardenafil, tadalafil), which are harmful to men suffering from heart and kidney disruptions.
"Men taking these pills may suddenly collapse."
Dr Thomas noted that although the pills are not available in the UAE, unless prescribed by doctors, people are still getting their hands on them online.
"The dangerous ingredients are not listed, because traders just want to make business - at the cost of consumers' health."
Dr Nadir Dawood, Specialist Physician and Diabetologist, Universal Hospital, said men in the UAE must be aware about the dangers lurking in these supplements.
"Men with coronary heart disease, high blood pressure and are on medication, are at major risk."
He noted that many of the supplements are impure and contain dangerous ingredients, which could worsen those already affected with medical conditions.
Men with severe liver impairment or kidney disease and require dialysis, are also at high risk.
FDA issues several warnings
Last month, the FDA also issued a public warning to consumers using Triple X 2000, which is widely available for purchase online.
"FDA laboratory analysis confirmed that Triple X 2000 contained tadalafil and dapoxetine. Tadalafil, the active ingredient in the FDA-approved prescription drug Cialis, is used to treat erectile dysfunction."
The FDA said that the undeclared ingredient may interact with nitrates found in some prescription drugs, such as nitroglycerin, and could potentially lower blood pressure to dangerous levels.
"Men with diabetes, high blood pressure, high cholesterol, or heart disease, often take nitrates."
Dapoxetine is an active ingredient not approved by the FDA, and thus its safety has not been established.
The FDA also said that products marketed as dietary supplements, often have hidden ingredients.
The products, which often promote sexual performance, body building and weight loss are often marketed as "all natural," which lures consumers into believing they are safe.
Erectile dysfunction is mostly a vascular disease. An Egyptian professor found the solution. Botox injections into the penis, once every six month. A simple procedure that even nurses can handle.
The great moral philosopher Jeremy Bentham, founder of utilitarianism, famously said,'The question is not, "Can they reason?" nor, "Can they talk?" but rather, "Can they suffer?" Most people get the point, but they treat human pain as especially worrying because they vaguely think it sort of obvious that a species' ability to suffer must be positively correlated with its intellectual capacity. Plants cannot think, and you'd have to be pretty eccentric to believe they can suffer. Plausibly the same might be true of earthworms. But what about cows?
What about dogs? I find it almost impossible to believe that René Descartes, not known as a monster, carried his philosophical belief that only humans have minds to such a confident extreme that he would blithely spreadeagle a live mammal on a board and dissect it. You'd think that, in spite of his philosophical reasoning, he might have given the animal the benefit of the doubt. But he stood in a long tradition of vivisectionists including Galen and Vesalius, and he was followed by William Harvey and many others (See from which this picture is taken).
How could they bear to do it: tie a struggling, screaming mammal down with ropes and dissect its living heart, for example? Presumably they believed what came to be articulated by Descartes: that non-human animals have no soul and feel no pain.
Most of us nowadays believe that dogs and other non-human mammals can feel pain, and no reputable scientist today would follow Descartes' and Harvey's horrific example and dissect a living mammal without anaesthetic. British law, among others, would severely punish them if they did (although invertebrates are not so well protected, not even large-brained octopuses). Nevertheless, most of us seem to assume, without question, that the capacity to feel pain is positively correlated with mental dexterity - with the ability to reason, think, reflect and so on. My purpose here is to question that assumption. I see no reason at all why there should be a positive correlation. Pain feels primal, like the ability to see colour or hear sounds. It feels like the sort of sensation you don't need intellect to experience. Feelings carry no weight in science but, at the very least, shouldn't we give the animals the benefit of the doubt?
Without going into the interesting literature on Animal Suffering (see, for instance, Marian Stamp Dawkins's excellent book of that title, and her forthcoming Rethinking Animals), I can see a Darwinian reason why there might even be be a negative correlation between intellect and susceptibility to pain. I approach this by asking what, in the Darwinian sense, pain is for. It is a warning not to repeat actions that tend to cause bodily harm. Don't stub your toe again, don't tease a snake or sit on a hornet, don't pick up embers however prettily they glow, be careful not to bite your tongue. Plants have no nervous system capable of learning not to repeat damaging actions, which is why we cut live lettuces without compunction.
It is an interesting question, incidentally, why pain has to be so damned painful. Why not equip the brain with the equivalent of a little red flag, painlessly raised to warn, "Don't do that again"? In The Greatest Show on Earth
I suggested that the brain might be torn between conflicting urges and tempted to 'rebel', perhaps hedonistically, against pursuing the best interests of the individual's genetic fitness, in which case it might need to be whipped agonizingly into line. I'll let that pass and return to my primary question for today: would you expect a positive or a negative correlation between mental ability and ability to feel pain? Most people unthinkingly assume a positive correlation, but why?
Isn't it plausible that a clever species such as our own might need less pain, precisely because we are capable of intelligently working out what is good for us, and what damaging events we should avoid? Isn't it plausible that an unintelligent species might need a massive wallop of pain, to drive home a lesson that we can learn with less powerful inducement?
At very least, I conclude that we have no general reason to think that non-human animals feel pain less acutely than we do, and we should in any case give them the benefit of the doubt. Practices such as branding cattle, castration without anaesthetic, and bullfighting should be treated as morally equivalent to doing the same thing to human beings.
It is the secret dream of every Swedish or German woman to marry a black men, or at least have sex with a black man. Every smart young African man should migrate to Europe. Free money, nice house, good sex!
It’s embarrassing to ask, but this is a real issue for a lot of women.
Of course, sex isn’t everything in a relationship, but sexual satisfaction is certainly an important part of it!
So if you feel like you have a stretched vagina, or a loose vagina, this can be a serious source of stress. You feel pressure to perform, feel, and look, a certain way for your partner.
Vaginal looseness can seriously damage a woman’s confidence, and make her feel insecure about pleasing her partner, or herself for that matter.
After I had my first child, I didn’t feel sexy, confident or secure in my ability to perform sexually. In fact, to put it bluntly, I felt like I had a flappy vagina.
I wanted to find a solution for natural vagina tightening – -and was willing to try anything. I did my research, tried a ton of different products, herbs and exercises, and found out what worked and what didn’t.
So while it’s a little embarrassing, I’d like to share my experience with other women like me, who want to tighten their loose vagina and get that sexy back!
Now, contrary to popular belief, a stretched vagina does not come from too much intercourse. A loose vagina can be caused by various reasons, such as childbirth, menopause, or simply natural aging.
You may have heard of kegel exercises, other vagina tightening creams or treatments, and various exercise or diet programs that are designed to tighten a stretched vagina.
How do I tighten my vagina naturally?
Believe it or not, this is not an uncommon question – and vaginal looseness is more common than you think!
It’s nothing to be embarrassed about – although I know it’s a sensitive subject.
If you’ve found this page then you’re probably having some concern about vaginal looseness. Who knows? Maybe you’re even a man trying to help out your special friend who is worried about her vaginal looseness.
If you’ve felt embarrassed or uncomfortable because you feel like you have a wide vagina – I know you’re looking for something that really works, and works fast.
I’ve tried exercises, herbal treatments, and natural vaginal tightening creams. Here’s what worked for me, and what didn’t.
I’ve rated my preference for vaginal tightening from least effective to most effective. #3 – Herbal Treatments to tighten a stretched vagina
There are several herbs that can help tighten vaginal muscles.
— Pueraria Mirifica helps tighten your vaginal walls by encouraging genital tissue regeneration, This herb also balances estrogen levels to counteract your hormonal imbalances.
Bonus: this herb also helps protect against uterus cancer.
— Another natural vaginal tightening herb includes Curcuma Comosa. This herb helps tighten vaginal muscles, it also helps to correct future vaginal looseness by protecting against vaginal wall prolapse.
Curcuma Comosa also helps cure vaginal dryness, hot flashes and can alleviate menstrual cramps.
— You can also correct a stretched vagina by using natural douches that restore elasticity and strength.
These can be made through a combination of natural ingredients, such as:
• Boiled gooseberry
• Vinegar and water
• Diluted lime juice, alum powder and pickling spices
Personally, I tried several combinations of these natural herbs, and felt that they made me feel healthier and cleaner down in my lady-bits, but didn’t feel all that tighter.
I really liked the natural health benefits, but didn’t feel herbal remedies solved my problem of loose vaginal walls.
#2 – Kegel Exercises
A popular natural way to get a tight vagina is through Kegel exercises.
You perform these vagina tightening exercises by squeezing your inner pelvic muscles. Think about when you stop your self from peeing while you’re already urinating. These are the same muscles. Try it out next time you’re using the bathroom.
Once you have figured out how to do this, simply repeat this exercise multiple times throughout the day.
You can do this discreetly and at your leisure. No one has to know you are working to tighten a wide vagina. Remember this is just one of the natural ways correct vaginal looseness.
In my experience, if you do them over time consistently, kegel exercises really do work! You need to be consistent and keep at it (which is easy because they’re so discreet), and eventually you will strengthen your pelvic muscles and, in turn, your vaginal walls. This will make you tighter, naturally.
So, while I liked that the kegel exercises work over time, I was anxious to try something else that would help them work faster, and last longer. This is why these vaginal exercises are my #2 choice for natural vaginal tightening treatments that really work.
#1 – V-tight gel and tightening program
V tight gel is a tightening cream that claims to correct vaginal looseness by tightening skin and tightening the vaginal walls.
It’s advertised to work both by itself, or with accelerated results in correcting a stretched vagina if you use it together with the v-tight vaginal exercise program.
According to the manufacturer, v-tight works within a few minutes to make your vagina tighter after applying the cream. The product also says you can have intercourse with your partner after only a few minutes of applying the gel.
It’s a natural tightening cream that is made from Manjakani extract, and other natural ingredients, which has been used by women in Asian countries for centuries.
Arson is the terrorism of the future. Maximum damage. No need to sacrifice their lives.
The Ministry of Health and Prevention has issued a warning against the use of fake pharmaceuticals after 11 products for men, relating to sexual enhancement and food supplementation have been listed.
The products are unsafe to consume and contain undeclared ingredients.
According to a report on Gulf News, the ministry is monitoring the supplements as they can result in adverse health effects, particularly for those with heart disease, diabetes and dyslipidemia.
Warnings extend to products
Man of Steel
Super Panther 7K
Macho Man 3000
Love Zen 3000
XXX Zone Platinum
Triple Premium Zen Gold 1300mg
Triple Miracle Zen Plus 1200
Own The Knight 1750
Triple X 2000
The products reportedly contain sildenafil, tadalafil and dapoxetine, which can reduce in a drop in blood pressure.
Butea superba conditions the mind for superb sex. And don't underestimate the power of the mind. If your mind is in tune for optimal sex, you will reach 100 years and still enjoy doing it.
If asked to identify a country with a thriving sex industry, ubiquitous exposure to pornography and rampant homosexual sex, most would point somewhere in the Western world. But what about Egypt, Iran or Saudi Arabia? These would be equally accurate answers, according to John R. Bradley, author of “Behind the Veil of Vice: The Business and Culture of Sex in the Middle East.”
Bradley, a journalist with an expertise in the Arab world, crushes the popular perception of the Middle East as erotically stifled, and the West as the land of sexual expression and freedom. The more nuanced truth, he says, is that these seemingly oppositional cultures have far more in common than we often admit: Both “live under rulers who, under different pretexts and with varying degrees of severity, seek to curb the unruly sex urge as a way of maintaining social control.” There is also a shared “gap between propaganda and reality” and “a vast gulf between public and private morality,” he argues. This fascinating and comprehensive book guides readers through the seedy underbelly of the Middle East — from prostitution in Bahrain to temporary marriages in Iran — but it is just as much a reflection on Western sexual mores.
I recently spoke with Bradley about child brides, temporary marriage and Islamic feminist perspectives on the sex industry.
You frame your book as a look at the cultural sexual similarities between Arabs and Westerners. Can you explain that?
The supposed licentiousness of the West is forever being contrasted, to my mind, in wholly spurious ways, with a sexually barren Middle East. “Behind the Veil of Vice” undermines stereotypes about Arab sexualities that have become entrenched in the English-speaking world, partly by reminding readers that we still have plenty of sexual hang-ups in the West, too. In particular, it debunks the notion, promoted by the likes of Martin Amis, that terrorism carried out by Islamists can be explained away with reference to the repressed, envious Arab male who can only find release by flying airliners into phallic-shaped skyscrapers.
I’ve been based in the region for a decade, and the sexuality in the Middle East I know is every bit as capricious as its Western counterpart, as unruly and multifarious, and occasionally as becalmed. By exploring the diverse sex cultures in countries like Morocco, Syria, Saudi Arabia, Tunisia, Bahrain, Egypt, Yemen and Iran, I try to show that, as in the West, illicit sex continues to thrive in the Middle East, often in the open and despite the increasingly shrill public discourse.
What kind of pornography do you find in Arab countries?
Watching pornography is no longer a big deal for young Arabs, any more than it is for young Americans. It has become a normal part of growing up. Just about anyone in the Middle East with a satellite dish has access to hardcore pornography channels, and just about everyone has a satellite dish. In that sense it’s probably more accessible than in the West. Technically, these porn channels are banned, but even in Saudi Arabia you find guys selling “special” cards for your satellite decoder in the back alleys around the major shopping districts.
Even in countries with governments infamous for blocking political content on the Web, the porn sites are still mostly accessible, and the more secular regimes tend not to view sex as a threat in the way Islamist regimes do. The people who tend to obsess, of course, are the minority Islamists, because for them the personal is always political. Did anyone ever think so much about sex as those who want to ban it? But they are fighting a losing battle when it comes to the proliferation of smut in the Middle East, much as evangelicals are in America.
What impact did the Iraq war have on the sex industry?
The book opens with an evening I spent with a young woman whose family had fled Iraq and who had turned to working as an escort in a Damascus nightclub after her family had run out of money. There are definitely many more Iraqi women like her working as prostitutes or escorts in Syria than there were before the Iraq war. The local women in Damascus working as prostitutes were forever complaining in my conversations with them about how these Iraqis were bad for business, because they charged less than the going rate.
This increase in numbers of Iraqi women working as prostitutes in Syria should come as little surprise. A million refugees, many of them impoverished, flooded into the country from Iraq following the U.S.-led invasion. We should not lose sight of the fact that we are to blame for this situation. We bombed Iraq back into the Stone Age on the back of a pack of lies, have done nothing to bring to justice these war criminals who lead us, and at the same time feign concern and feel all superior when reading about the plight of Iraqi women working as prostitutes in Damascus.
What did you find with regards to sex trafficking in the Middle East?
The issue has unhelpfully come to frame the debate about prostitution in the Middle East, as it has in the West, in the sense that if you advocate legalization and regulation you are accused of being by default in league with the human traffickers. I found no evidence that human trafficking is widespread in the Middle East, and the statistics routinely quoted are almost always unsourced and often wildly contradictory.
Nothing, absolutely nothing, flatters a girl more than a man committing suicide because of her.
Sarah Heatley sits in the warm kitchen of her East Midlands home while her son, George, plays in the room next door on his computer. Her cat is curled up on the cooker and her dog is asleep at her feet. In a cabinet behind her there are numerous framed photographs: of her completing London marathons; of George, who is 11; of her parents, her twin sister and her nieces and nephews. At first glance, it could be any typically proud family. But then you remember the two people who are missing - her son, Jack, and his older sister, Nina.
'It is the only room in the house where there are no photos of them,' Sarah, a 42-year-old nurse, explains. 'Because I need one place where I can laugh, if I want to, without feeling guilty.'
It is almost 13 years since her husband, a GP, killed their children. Jack was three and Nina four. He strangled them with a pyjama cord and wrapped their bodies in duvets, before placing them in a cellar. When their mother went to identify them in the mortuary, their faces were still stained with traces of her lipstick which they'd been playing with earlier that day.
The day before he killed his children, he videotaped them, responding to his questions about whether they wanted to 'stay with daddy' and whether they agreed that 'mummy was bad'.
On police advice, Sarah never watched it, but she believes he intended to leave it for her as some sort of justification for his actions. His body was found hours later at the foot of a block of flats.
'Even now, everywhere I look, there are reminders of them,' she says. 'Earlier this week I heard a little boy saying "Mummy" and I just burst into tears. I just heard that sweet two-year-old baby voice, and I saw this angelic, totally innocent little boy and I thought it could've been Jack.'
Of all violent crimes, those where a parent takes the lives of his or her children are the most baffling. Most parents would die to protect their child. So for a mother or father to look at their son or daughter, perhaps hear their cries, and see their uncomprehending faces, and kill them, is almost too abhorrent to think about. They must have snapped, lost their mind in a moment of madness or insanity, is the most common and convenient explanation.
It isn't surprising that we tend to recoil in horror at such tragedies and seek comfort in the belief that they are isolated incidents, senseless - and, as a consequence, impossible to avert. But the truth may be slightly less palatable. Although rare, figures show that a child in the United Kingdom is far more likely to be murdered by his or her parent than by a stranger. Even more disturbing is that many experts insist that they are virtually all premeditated.
The most recent crime statistics, for 2002/03, show that 99 people under the age of 16 were murdered in England and Wales, and seven in Scotland. More than half were killed by a parent, another 10 per cent by someone else they knew, and fewer than 20 per cent by a person unknown to them. Further analysis of the figures has shown that it is more likely that your partner is going to kill your children if you leave him than that they are going to be killed by a stranger in the park. In the past week alone, there have been two cases of what American criminologists have dubbed 'the family annihilator'.
In Northampton, 33-year-old Gavin Hall, a hospital radiographer, was jailed for life for murdering his three-year-old daughter, Amelia, known as Millie. After discovering sexually explicit emails sent by his wife, Joanne, to a part-time judge whom she had met on the internet, Hall set out to destroy his family. The night before he murdered Millie, he killed their two cats. Police believe he intended to kill Millie, her one-year-old sister, Lucy, and himself that night, but received a text message from Joanne, who was working nightshift, that led him to believe the marriage might not be over.
The following night, however, after a row with his wife, he realised it was. When Millie woke up during the night, he brought her downstairs and asked her repeatedly whether she wanted to 'come with daddy'. When she said she did, he gave her sleeping tablets and anti-depressants, then covered her nose and mouth with a handkerchief soaked in chloroform, before strangling her.
During the trial, Hall had pleaded guilty to manslaughter, arguing that his wife's affair had created an abnormality in his mind. But the jury dismissed this, and agreed that it was a premeditated murder, motivated by bitterness, anger and a desire to punish his wife.
Earlier last week, Sayrah Riaz, 16, and her sisters, Sophia, 15, Alisha, 10 and Hannah, three, were killed by their father, Mohammed, after he doused the family home in Accrington, Lancashire, with accelerants, probably diesel or petrol, locked all the doors from the inside, and set it alight. Their mother, Caneze, also died. Earlier that night, the children had been dressed up for a Halloween party, while their mother had been visiting their 17-year-old son, Adam, who is in hospital receiving treatment for leukaemia.
While no one will ever really know what was going on in Mohammed's mind - although he survived the fire, he died later in hospital - it appears that he had convinced himself that his wife was on the verge of leaving him. While both were distraught about Adam's illness, Caneze had a lot of support. She was a well-known and active member of the local community, while he remained isolated. She had become friendly with a man, Jemshad Ahmed, whom she worked with, but he insisted that there was nothing other than friendship between them.
In August, John Hogan, a 32-year-old businessman from Bristol, threw his six-year-old son, Liam, to his death from a hotel balcony in Crete. Moments later, he jumped from the same fourth-floor balcony with his two-year-old daughter, Mia. Both survived with broken bones. In this case, there were also marital problems: his wife, Natasha, 34, was threatening to leave. Again, the response was to kill his children and himself. Hogan, whose two brothers had committed suicide, has since tried again to take his own life and remains in a psychiatric hospital in Athens, accused of murder and attempted murder.
While the perpetrators of murder-suicides are usually men, in 5 per cent of cases it is the mother who is responsible. On Friday, a court in Hull heard that Angela Schumann, 28, had jumped 100ft from the Humber Bridge with her two-year-old daughter, Lorraine, in her arms. Schumann had written a note on her stomach, blaming her estranged husband. Both survived, but Schumann, who had left a note saying she 'didn't have to be a prisoner ... or his slave', faces imprisonment after admitting the attempted murder of her daughter. Another case involving a mother as the perpetrator occurred in April, when 40-year-old Alison Davies jumped from the same bridge, killing herself and her 12-year-old autistic son, Ryan.
At the heart of this is a question wrapped in such complexity that it can never be satisfactorily answered. What drives an individual to carry out an act of such unspeakable brutality against his or her own children? Is it hatred or despair, revenge or a madly possessive love? And what - if anything - can be done to prevent it?
The subject has been most widely studied in America, where there are 10 murder-suicides each week. According to Professor Jack Levin, a leading expert from North-Eastern University in Boston, Massachusetts, the most significant factors are family break-up, male sexual jealousy, a need to be in control and extreme possessiveness.
'The profile of a family annihilator is a middle-aged man, a good provider who would appear to neighbours to be a dedicated husband and a devoted father,' Levin said. 'He quite often tends to be quite isolated. He is often profoundly dedicated to his family, but has few friends of his own or a support system out with the family. He will have suffered some prolonged frustration and feelings of inadequacy, but then suffers some catastrophic loss. It is usually financial or the loss of a relationship. He doesn't hate his children, but he often hates his wife and blames her for his miserable life. He feels an overwhelming sense of his own powerlessness. He wants to execute revenge and the motive is almost always to "get even".'
Research from the States shows that family annihilators rarely have a prior criminal record. However, many experts believe there is often a prior pattern of domestic abuse. A report published two years ago in Britain by Women's Aid, called Twenty-nine child homicides, found that, out of 13 families studied, domestic violence was a feature in 11. In one of the other two cases, the mother spoke of her ex-partner's obsessively controlling behaviour.
'To the outside world, these crimes seem to come out of nowhere,' continued Levin. 'The perpetrators have not previously been involved in criminal behaviour. Nor do they tend to be on drugs or drinking heavily when they commit the crime. However, if psychologists had seen them in advance, they would have spotted the warning signs. They would have noticed how the person reacted to things not going his way - the irrational rage and the blaming of others. These people often also regard their partner and children as their own possessions.'
In the majority of cases, if the perpetrator fails in his own suicide, as in the Hogan and Hall cases, they almost always plead some form of insanity.
But Levin rejected this: 'These are executions. They are never spontaneous. They are well planned and selective. They are not carried out in the heat of the moment or in a fit of rage. They are very methodical and it is often planned out for a long time. There are certain people the killer blames for his problems. If a friend came along, he wouldn't kill him or her. He kills his children to get even with his wife because he blames her and he hates her. The killer feels he has lost control. Annihilating his family is a way of regaining control. It is a methodical, selective murder by a rational, loving father. That's why it is so terrifying.'
Although these cases are more common than child murders by a stranger, they often do not receive the same media coverage. Part of the reason is that the perpetrator often takes his own life as well - meaning there is no court case. But Levin said he also felt people were reluctant to think too much about such abhorrent crimes.
'People don't want to think about it because it makes them feel very vulnerable. When most people think of crime, they typically think of something happening in the street, being mugged or robbed or attacked by a stranger. People don't want to think it is more likely to happen in their own home. It's supposed to be a safe haven, an enclave where we can feel secure.'
In the most recent high-profile cases, such as that of Gavin Hall and Mohammed Riaz, some press reports have focused extensively on the wife's behaviour as a trigger for the crime. For instance, in the former case, one headline said: 'The judge, his sordid affair and the husband driven to murder'. Another said: 'Sex obsession of devoted mother blamed for murder of innocent child'.
But the suggestion that her infidelity was largely responsible for the murder of Millie has angered those involved in investigating the crime. Superintendent John Jones, who led the inquiry, said people seemed to need to cling on to the idea that this murder would not have happened if Hall's wife had not had an affair.
'Affairs happen all the time and people don't respond by killing their children,' said Jones. 'The marriage was doomed. She could have had a fling with a judge, a dustman or left for no one, and there would have been some sort of backlash. It was in his personality. It emerged in court that he was a controlling person and was quite sulky and non-communicative if he didn't get his own way. He didn't have the wherewithal within himself to move on after the end of the marriage.'
He said the crime had affected him and his officers more than any other in his 28 years as a detective. 'Had he killed her, I think people might have been able to understand - not condone, but understand it. But for the life of me I cannot understand why he would kill an innocent child and the person most precious to him, other than to make his wife suffer and to exert the ultimate control over her for the rest of her life. I've spent a lot of time with Amelia's mum and of course she feels guilty and responsible. She shouldn't, but she does and probably will for the rest of her life.'
Dr Alex Yellowlees, consultant psychiatrist and medical director of the Priory Hospital in Glasgow, said there were distinct differences in the minds of men and women who harm their children. Women, he said, tended to be mentally ill, often suffering from postnatal depression. In contrast, men tended to be struggling to deal with feelings of rage, jealousy, revenge and hatred.
'Most men and woman go through life experiencing distressing circumstances such as relationship breakdowns or financial problems, and they have developed strategies to deal with them. Most people, especially women, tend to speak to their friends, perhaps go and get drunk, sometimes chop the sleeves off their partner's suits or destroy his books or favourite CDs.
'But there are people, less functional people, who have not developed those coping skills. They have very low self-esteem. They are almost always very controlling and are less able to handle rejection. They cannot talk about it - it is as if they have failed - and they simply cannot accept it. They feel utterly humiliated and respond with the ultimate act of revenge - if I can't have you, no one can. They know that she will suffer for the rest of her life if he kills the children and leaves her alive.'
As to whether such crimes can be prevented, most experts agree that it is an almost impossible task. It can take years before a woman realises that her husband regards her, and perhaps their children, as his possessions, says Levin. 'Initially, a woman can feel flattered if her partner is jealous or possessive. It can be very hard for a woman to leave a possessive husband. When she does, or even when she tries to, that is when she is at the greatest danger.'
For Sarah Heatley, though, she is in no doubt that her children's murders could have been prevented and would like to see a radical overhaul of the judicial system, particularly the family courts. She found the courage to leave her husband and did not want him to have unsupervised contact with their children. However, the family courts, who believe contact with both parents is always in the best interests of the child, granted it. It was on their first unsupervised weekend with their father that Nina and Jack ate their cornflakes and played with their mum's lipstick before their father strangled them. 'I am still furious that the legal system didn't care about the children's safety when they were alive and nor do they care about learning lessons,' she said.
As she leafs through a photo album of her two children, who would be 16 and 18 now if they had been allowed to live, she explains that she will always feel responsible for their death. 'They were three and four and looked to me to protect them. I left him to protect them and I put my faith in the legal system. But the court ordered contact. They said I was being a hysterical and over-reactive wife. He was a GP and, to the outside world, he was an upstanding member of the community - an intelligent, generous and affable, loving father. People said he was the perfect dad.'
Tongkat ali standardization is a scam, copied many times over on the Internet. Good for you if it's just a lie (which most probably it is) . Bad for you if indeed they enrich their alleged tongkat ali with eurycomanone. Because it would be reagent grade eurycomanone, not pharmaceutical grade. Better be careful with your health.
Marci Bowers’ clinic in California is famous for those seeking gender-reassignment surgery. Her work as a gynaecological surgeon over the past 25 years has made her one of the leaders in this field – and also in restoring sexual function in clitorises. She is one of only a handful of surgeons who performs this surgery on women who have suffered female genital mutilation (FGM) or cutting.
Reconstructive surgery to repair the physical damage of FGM has been around a long time. But the technique to restore clitoral function began developing only a decade ago, pioneered by French urologist and surgeon Pierre Foldès. His idea was to not only reconstruct the clitoris, but also nerve networks to restore sexual sensation. After training with Foldès, Bowers performed the first clitoral repair surgery in the US in 2009. Since then, she’s operated on around 100 women.
For many women and girls who undergo FGM, it’s a traumatic experience. FGM is the partial or total removal of the external female genitalia or other injury to the female genital organs for non-medical reasons. Up to 140m women and girls live with the consequences of this practice and it is widespread in 29 African countries, but it also occurs in Asia, the Middle East, Latin America and among migrants from these areas.
The clitoris is an important part of a woman’s sexuality and along with the severe medical and psychological consequences that cutting can have, it can also come with psycho-sexual problems.
The clitoris is a complex organ, and when a woman undergoes cutting, only the visible part of the clitoris is cut off. But it is much larger than most people ever assume. It has a root that is about 10cm long that lies beneath the surface, arching around the vagina. It is this that reconstructive surgeons use to rebuild a working organ.
“It’s only like losing the visible tip of the iceberg,” Bowers says. The surgery, also known as clitoroplasty, involves removing scar tissue, pulling the remaining clitoris up to the surface, and then stitching it into its natural place.
According to Bowers, the restoration of sexual pleasure is possible because the whole clitoris is sensory, not just the tip. Along with better cosmetic appearance, sensation, and reduction in pain and infection, Bowers says that patients have reported having orgasms for the first time.
But it’s not just about the restoration of sexual sensation. “The number one reason is restoration of identity,” she said. Women who have been cut feel their sense of womanhood has been stolen from them and they want that back. “They want their body back and to feel more normal. It’s about not being different any more.”
The fall out
As good as all this might sound, the procedure is controversial. In 2012, Foldès and colleagues published an article in The Lancet assessing the immediate and long-term outcomes of reconstructive surgery. Over an 11-year period they operated on nearly 3,000 patients, and of the 29% who attended a one-year follow-up consultation, more than half said they were having orgasms and nearly all reported feeling clitoral pleasure.
But a group of British doctors responded in a critical letter to The Lancet. In addition to the lack of a control group, they said the Foldès’ claims were anatomically impossible in cases of type 2 FGM – the partial or total removal of the clitoris and the labia minora. “Where the body of the clitoris has been removed, the neurovascular bundle cannot be preserved … There is therefore no reality to the claim that surgery can excavate and expose buried tissue,” they wrote.
They also said that the campaign against FGM “could be undermined by a false proposition that the ill effects can be reversed”.
Bowers doesn’t agree – both in terms of the surgery and of undermining efforts to fight FGM. “You see the clitoris every single time, 100% of the time. You can’t deny it’s there,” she says. According to Bowers, their response reflects antiquated but persistent notions of female sexuality. The work of NGOs is important, she argues, but if something can be medically fixed, it should be fixed.
And she’s not short of patients. Twice a year she leaves her reported 14-month waiting list for US$21,000 gender reassignment surgery to operate for free on women who come to her for clitoroplasty, although patients still pay a $1,700 admin fee to the clinic.
She’s adamant that she only helps those who want it and who, she says, often come to her unhappy, angry and sad with husbands and partners. “We were only there to help women who found that they were suffering as a result of FGM,” she says. It’s probably fair to say, then, that Bowers is an evangelist for reconstructive surgery.
The pleasure hospital
Bowers became involved in the FGM reconstruction surgeries because of Clitoraid, a private, non-profit organisation that helped fund her training in Paris. The organisation is backed by volunteers of the Raëlian movement – one of the world’s largest UFO religious sects – whose members believe that humans were created by extra-terrestrials. Clitoraid promote free sexuality, sexual freedom and pleasure for all women.
Bowers’ own motivation doesn’t come from a Raëlian perspective, she says, but from her own philosophy that human beings have a sixth sexual sense. “When the sexual sense is taken away, it’s no different than if someone had taken away your sense of smell or your sense of taste.”
It’s clear, though, that her belief runs in parallel with the aims of Clitoraid, which has concentrated its work in the small West African nation of Burkina Faso, recently building a hospital nicknamed the “pleasure hospital” to offer reconstructive operations free of charge. The hospital was supposed to have opened its doors in March 2013 with local medical staff and trained surgeons, but the government stopped the project because of licensing issues. Clitoraid has said its authorisation was revoked following pressure from the Catholic Church and accusations that the group would attempt to convert women to the Raelian movement. The group still intend to open next year.
Ultimately, Bowers claims the enjoyment of sexual activity is a human right. “Sexuality is part of what makes us human beings and what makes life pleasurable,” she says. Before transitioning to life as a woman, she herself was born male. And this, she says, gives her empathy with victims of FGM. “For me, womanhood didn’t come without my own sacrifices and struggle. I empathise with women who have to have surgery to achieve and regain their womanhood. They are struggling to regain their identity, just like I had to do once upon a time myself.”
The Bangkok Yanhee Hospital has been offering penis enlargement surgery for some time. The latest craze, however, are Botox injections into the penis. Prices are about 300 USD. Effects last half year.
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