VIMAX Pills can enlarge your penis size up to 3-4 Inches in length and up to 25% in girth !

free penile enlargment video penis enlargment stretcher

VIMAX Pills is a powerful natural herbal male enhancement formula that increases penis length and girth, sexual desire, sexual health and helps to achieve stronger erections. Combining the formulations of the type of herbs found in many parts of the world that have been proven to work for many years, you can now enjoy the full benefits of our product. Some of the same type of herbs found in Polynesia where the men of the Mangaian tribe have sex on the average of 3 times a night, every night. While this is not what you may wish, it is nice to know your sexual performance can improve substantially.

After many years of medical Research and Development, our company is pleased to offer you a 100% Natural and Safe Product that can safely and permanently enlarge your penis size up to 3-4 Inches in length and up to 25% in girth. Discover what our "proven to work" formula can do for you by ordering today. Many men were skeptical at first but after they gave our pills a try their sex life and self esteem changed for the better.Our pills will improve your overall sexual health, make you feel younger and you will have more pleasurable orgasms. You can take one pill 2 times per day to keep the effects of VIMAX PILLS in your system and to promote virility enhancement.

100% Safe and Natural Herbal Ingredients

Epunedum Sagitum or Horny Goat Weed - Known in China as Yin Yang Huo. Chinese top medical doctors report that horny goat weed boosts libido and improves erectile function. Used to restore sexual fire and allay fatigue.

Saw Palmetto - Known to stimulate a low libido in males and to increase sexual energy. A compound in saw palmetto has aphrodisiac effects.

Ginkgo - Medicinal use of ginkgo can be traced back 5,000 years in Chinese herbal medicine.The herb also increases blood flow to the genitals which improves sexual function. In one study 78% of a group of men with impotence reported significant improvement without side effects.

Other Ingredients: Muira Puama (balsam), Velvet, Damiana (leaf), Cayenne (fruit), Oats (entire plant), Avena sativa, Ginseng (root), Panax Ginseng, Caltrop (fruit) Tribulus terrestris.

vigrx oil penis enhancement before and after

VIMAX Pills helps you gain:

  • Stronger and more intense orgasms
  • Substantially increase your sexual desire and stamina
  • The appearance of your penis will arouse your sex partners.
  • You will have bigger erections. Because of increased blood flow your erections grow harder.
  • Erections when you want them. Rock hard erections every time. No more problems because you can't get it up and keep it up. VIMAX PILLS will keep the blood flowing to your penis so you will always get hard and stay hard.

Do VIMAX Pills really work?

We get many emails from our customers that say our pills helped them regain their sexual ego. It's up to you when to stop taking our pills since they are 100% safe and made from natural products. We had one customer write to us that he decided to stop the pills after he no longer felt embarrassed when making love. His penis used to be below average, 5 inches to be exact, now he is 7 inches and is fully satisfied. He wrote us saying that now his woman receives an orgasm 95% of the time they make love, before she could barely get excited.

"I'm very grateful to Pillsexpert for bringing such miraculous changes to my life. Having gained 2.5 inches from the 4 months supply and became more passionate and sexually attractive I was even able to fix the relationship with my wife (we were on the verge of the divorce) by simply having great sex with her. I feel more confident now and …I'm just happy!!! You know how they say it: ”Miracles don't just happen, they are firstly very well prepared.” No doubt that your company put a lot of time and effort to start helping people. Thank you so much and good luck to you." Mark Andrew, FL

penis enlargment surgery picture compare penis enlagement pills

Why are we #1 on the market?

Consider the difference between a 7, 8 or 9 inch penis that is thicker and a penis that is 4 to 6 inches and narrower. With a larger penis you penetrate more sensitive areas of the woman. Your longer penis probes deeper searching those special nerve endings. The added width to your penis fills and presses her from side to side to give your partner the most exhilarating sensations. The results are permanent. You control the growth because once you reach your optimum size you could stop taking VIMAX PILLS. We say you could stop taking VIMAX PILLS because it is not necessary to be larger then 9 inches. Most women can only comfortably accommodate a 9 inch penis. Anything larger than that may be too large for most women. Nine inches or more then 9 inches, the choice is yours.

Unlike other clones, Vimax Pills are made from only high end ingredients available to bring you best results possible. We run a serious business and treat as such, unlike other companies that appear out of nowhere and then disappear with your money without ever sending you a product you paid for.

penis enhancement surgeon herbal penis enlargement pill

Prices

penile enlargement techniquepro fitness health solutionpennis enlargement patchfree natural penile enlargementherbal penis enhancement pillspennis enlargement operation

40% Order This Deal

Price: $234.95

Price Per Bottle: $39.15

Saving: $124.75

top rated penis elargement pillspenis enlargement pills reviewfree penis enhancement techniquebuy vigrxenlargment penis pill vimax

21% Order This Deal

Price: $214.95

Price Per Bottle: $42.99

Saving: $84.80

vimax penis enlargement photopenis enlargementpenis elargement without pillsnatural penis enhancement pills

14% Order This Deal

Price: $189.95

Price Per Bottle: $47.48

Saving: $49.85

compare penis enargement pillsherbal pnis enlargement pillshomemade penile enlargment

12% Order This Deal

Price: $154.95

Price Per Bottle: $51.65

Saving: $24.90

do penis enlargement pill workvigrx for men

8% Order This Deal

Price: $109.95

Price Per Bottle: $54.98

Saving: $9.95

natural penis enlarement and lengthening

5% Order This Deal

Price: $59.95

Price Per Bottle: $59.95

Saving: $0.00

Most of the orders placed before 1PM Eastern Standard Time are shipped the same day.
Worldemail or IP-PILLSEXPERT will appear on your credit card statement.
All orders are shipped in discreet packaging.

cheap penile enlargement

Vitamin B1 also called as thiamine is one of the eight vitamins that make up the powerful group called as the Vitamin B complex. Like all of the B vitamins this nutrient plays a great role in the good health of the body as well as a sound mental health. Proper care and caution should always be considered when it comes to taking in these nutrients especially when it comes to dosages as some may tend to overdose which is never really a good thing and is actually quite as bad as not having any at all. Vitamin B1 serves many purposes in the body. It is an essential part of converting carbohydrates to energy and necessary to the proper functioning of the nervous system, the heart and the musculature system of the body. Thiamine is very important to the brain particularly in terms of emotional health and well being as well as being useful for focus and concentration. There are a variety of physical conditions and diseases associated with deficiencies in Vitamin B1. Symptoms include pain, numbness and tingling in the extremities, muscle weakness and a lack of physical coordination particularly in the larger muscle masses that make up the leg muscles. A deficiency in thiamine can cause enlargement of the heart which can itself lead to congestive heart failure and lung congestion. A severe deficiency in Vitamin B1 can lead to nerve damage, brain damage and even death. Mental symptoms associated with a serious lack of Vitamin B include fatigue, psychosis and confusion. These are a few serious diseases specifically associated with a deficiency of Vitamin B1 including the notorious beriberi disease. There are also two specific types of brain damage associated with severely low levels of Vitamin B1. One is the Korsakoff syndrome which results in confusion and short term memory loss. Another is the Wernicke’s Disease which has symptoms that include vision disturbances and irregularities, an unsteady walk and mental confusion. Despite the obvious importance of Vitamin B1 to many of the body’s important functions a great deal of people regularly fail to meet the recommended daily intake levels of this vitamin. Alcoholics are particularly vulnerable to being deficient in Vitamin B1 because alcohol ruins the B vitamins. Illnesses that force bodily fluids out from the body such as chronic diarrhea can deplete the body’s levels of thiamine because it is a water-soluble vitamin and the body needs to have its steady supply renewed every day. There are also rare conditions that interfere with the body’s ability to use Vitamin B1 properly. Dietary supplements are an affordable, safe and effective way to consistently meet the recommended daily intake levels of Vitamin B1. It is especially important however, when taking supplements to use them with care and attention because taking too much Vitamin B1 can cause adverse side effects and even serious health problems. As with all substances there is such a thing as too much of a good thing. Moderation is always key. While there are certain health situations that do call for higher than average doses of this powerful B vitamin high dosages should only be taken while under the direct supervision of a qualified health care professional. Like any other medication or dietary supplement Vitamin B1 supplements should always be kept well out of the reach of children. ------------------------- Note: This article may be freely reproduced as long as the AUTHOR'S resource box at the bottom of this article is included and and all links must be Active/Linkable with no syntax changes. ------------------------- vimax cheapest penis enlargement pills penis enargement device guide to penile enlargment best enlargement exercise penis penis enlarement pills truth about penis enlargment pills easy enhancement free penis surgery way best penis enlargment pills

cheap penile enlargement

Problems of achieving a satisfactory erection are fairly common. If the problem does not originate from lack of lust and is great enough to make normal intercourse impossible, the condition is called erectile dysfunction (impotence). Erection problems are caused by combined physical and psychological factors. THE ERECTION MECHANISM The penis has three bodies containing a dense network of blood vessels along all its length. During erection blood is filled into the vessels of these bodies. The bodies then engorge, make the penis hard and rise it up. The filling of these bodies occur when the vessels leading blood to the penis relax and vessels draining the penis constrict their volume. Before and during erection nerves lead impulses to the genitals. The nerve ends in this area then releases the substance nitrogen oxide. Nitrogen oxide will diffuse through the genital area and the penis and stimulate the reaction of the blood vessels in the penis. PHYSICAL CAUSES OF ERECTION PROBLEMS Erection problems can occur because of disorders in the nervous system sending impulses to the genital area, problems with the blood supply to the penis and anatomical problems in the penis or genital area. Specific causes can be: - Accidents, stroke, surgery or tumours hurting brain areas or areas in the spinal cord responsible for erection impulses. - Multiple sclerosis, a disease hurting the isolating sheets around the neural fibres in the brain and spinal cord, can give erection problems. - Accidents or diseases hurting nerves from the spinal cord to the genital region. - Atherosclerosis caused by age or an unhealthy lifestyle, giving narrowing and hardening of blood vessels to the genital region. - Injury to the erectile bodies caused by inflammation, accidents or diseases. - Congenital malformations in the penis or genital region, for example hypospadias and epispadias. - Peyronie's disease, a common inflammatory disease causing abnormal bending or twisting of the penis, and sometimes also hinder the filling of blood into the erectile bodies, sometimes gives problems for the erections. - Circumcision causing the penile skin to be too tight, or causing extensive inelastic scars. - Side effects of medicines, such as medications taken for high blood pressure or depression. - Zinc deficiency. - Heart disease. - Diabetes causing injury to the nerves and blood vessels to the penis. - High blood pressure (hypertension). - Liver or kidney disease. - Alcohol or drug abuse impairing psychological and neural functions. PSYCHOLOGICAL CAUSES OF ERECTION PROBLEMS Psychological causes can interfere with the erection process by distracting a man from stimuli that normally would give him sexual arousal. Psychological issues account for about 40% of erection problems. Erection problems in men under age 50 are most likely to be caused by psychological factors. Psychological causes of erection problems include: - Anxiety for not being able to perform sexually as well as the partner demands. - Prolonged emotional upset, such as worrying, anxiety or anger due to a man's economical, professional or social situation. - Relationship problems, for example when the woman has different preferences of sexual practice than the man. - A man who loses sexual desire for his partner may develop erection problems. - Recently widowed men can get erection problems. - Some men have difficulty having sexual intercourse with their partner after she has given birth because he does not like the changes that the birth process has caused to the woman's body. CAUSATIVE TREATMENT When a specific organic and psychological condition causes problems for the erections, this problem should be treated with appropriate methods that will vary according to the actual disease. If the cause is heart disease or atherosclerosis, lifestyle changes and training adapted to the medical situation can often improve the general health situation and improve the erectile abilities. If the cause of the erection problems is a problematic penile shape, for example curved or twisted penis by Peyronie's disease, using a mechanical penis reaction device for some time may help. On the marked you can also find herbal products to treat injured or diseased blood vessels in the genital area. These products typically contain herbal elements that experience has proven to stimulate tissue repair in blood vessels. POSSIBLE FUNCTIONAL TREATMENT It is not always possible to cure the condition causing erectile problems. Still the problems can be overcome by medication that stimulates the vessels leading blood to the penis to relax and the vessels draining the penis to constrict. These drugs typically achieve this task by stimulating the release of nitrogen oxide in the genital area or by mimicing nitrogen oxide. Viagra and Cialis are the best known pharmacological treatment for erection problems. In spite of what people often think, these drugs do not increase the sexual drive. If the sexual excitement is there, Viagra can help to achieve erection, if the drive and excitement lack in the first place, Viagra will not help. There are also herbal products on the market that stimulate the erection mechanism. Erection oils give an instant erection response, but the response only last 2-3 hours. Erection or potency pills take a longer time to give effect, but the effect lasts for many hours. The herbal product will often contain components that increase the sexual excitement in addition to improving the pure erection mechanism. If it is not possible at all to achieve erection with any treatment, surgical implants can help to make the penis stiff and raised up enough to perform an intercourse. One type of implant is partly rigid bodies that make the penis permanently partially erected. Another type of implant is inflatable bodies that can make the penis fully erected when the need rises. penile enlargement stretcher compare penis enlargment pills vimax penis enlargement pump cheapest penis enhancement pills real penis enhancement magna rx pill prosolution enlargement manhattan pennis surgeon cheap penile enlargement

What is email marketing? Basically, in plain English, email marketing is a targeted mass mailing done via email. The purpose of email marketing could be advertising in order to recruit new clients, introducing a new set of products or services to an existing client base, keeping your clients informed by means of a newsletter, etc. All of the before mentioned activities are very legitimate business efforts, as long as you respect some unwritten rules and as long as the list of emails you use is what is called 'targeted', in other words the names came from a database generated by your marketing division and represents your existing client base, a carefully selected list of potential prospects or a list of people who opted in to receive your messages. If instead of the above you use a list that you bought (you know, "25 million guaranteed AOL email addresses for only 19.95 - plus shipping"), or are doing it without warning the people on your list, or using other shady methods, then you are considered a spammer and what you are sending is spam, bulk mail, unsolicited email, basically, the main enemy of all things virtue and life in general. Yes folks, it is that easy to be labeled as a spammer, and very hard to get out of it. Once your message is considered unsolicited, you will immediately be put on zillions of black lists, side by side with those who promise inches and inches of extra extremities and hours and hours of ecstatic pleasures (for only 3 easy payments and some handling fees). Sound pretty risky, so why bother? Obviously, opt-in email advertising is far more cost effective than direct marketing via regular mail, door-to-door sales, or telemarketing. Paper, printing, envelopes, and postage can add up quickly. Door to door sales require paying out commissions. Telemarketing results in high long distance bills, often without great results, as people become more and more blood thirsty toward the people on the other end of the so called cold call. So why not just use my personal email or my company's mail server and some mailing software? In the early days of email marketing (that is, before the art of penile enlargement was crafted), that's exactly what people did. They would gather all their emails into some primitive version of a spreadsheet, fire up some mail merging program, hook it up to their corporate mail system and voila, thousands of emails were flying away. Today, the scenario is certainly possible, but let me tell you in a simple set of scenarios what can happen: One of the many not-for-profit groups that decided to police the internet will intercept that a large number of emails were generated and sent by a server near you (yep, they can do that). In order to protect the civilized world from those who spread spam, viruses and other vermin, they will put you on a list of threats to humanity. Those other nice corporate folks who were your indented recipients, have an IT department that gets constantly yelled at by angry users who get emails with naked people. Well - Mel, their IT guy decides to put up an anti-spam system that links to that not-for-profit's database of known spammers (oh yeah, did I mention you are now a 'known spammer'?) and block your emails. Your emails might actually be blocked so well that your company will have a real trouble communicating via email and your IT folks will all go nuts and/or get fired. Basically, not so good. Other things that can happen are: you'll have to build some opt-in / opt-out system, in some states there are laws that require that you make it very easy for your audience to unsubscribe, you'll have a hard time formatting your emails in a decent, eye pleasing way, etc. Lastly, the process of sending thousands of emails and managing lists, subscribing and unsubscribing people is tedious and just plain annoying. The only way to do it is with a maximum degree of automation, or, the better solution - to outsource to a company that does it professionally. Folks, I am known for promoting the "do it in house" concept, and am not that big on outsourcing. But when it comes to mass mailing... I say stay away from it and let the professionals do what they do. If you are worried about cost, know that the fee you pay for email marketing services, will still cost less than the continued overhead and expenses of the traditional options, not to mention the great possibilities of reaching a much larger audience, much faster (practically instantly). What to look for in an email marketing company? 1. Automating Your Subscribe and Unsubscribe Requests Many email marketing companies will provide you with exact HTML code you need to paste to your site to have a subscription form on your web site. The better services also provide a link at the bottom of each email that enables subscribers to update their information or unsubscribe from a list, automating everything for you. 2. Personalization of Emails Another powerful feature of many email marketing services is the ability to use mail merge capabilities to personalize each email that you send. The better services allow to have custom fields, additional to the standard first name and last name. 3. Bounceback email handling Bouncebacks are emails that are sent to email accounts that no longer exist or are full, blocked, etc. Essentially, you'll get a response stating that your message did not make it. All email list management software programs are able to manage subscribe and unsubscribe requests and send out messages, however without integrated bounceback email handling all the non-deliverable emails will be sent back to you, a rather big nuisance if your list is large. Ideally, the email software you use will be able to manage your bouncebacks for you. Whenever a bounceback is received, the software makes a note of the address and if another bounceback is received the email address will be sent to a list of dead addresses. This remove capability is extremely important since if you continuously send out emails with many bouncebacks you may be blacklisted as a spammer. This is something you really want to avoid at all cost. 4. HTML email The ability to send out HTML emails has been around for quite some time. Most email marketing companies support the ability to send out messages that include graphics and formatted text. This is surely something you'll want to look for. However, not all of your users have the ability to view email messages in HTML format. This percentage is usually between 10-20%. Instead of seeing your aesthetically pleasing email they might see a string of meaningless code. Using most email list management programs, these 10-20% of users will open up emails from you and be very inclined to call you a spammer. To avoid this, look for companies that use multi-part MIME to send out messages. When you send an HTML email in multi-part MIME, users who do not have the ability to view HTML messages will receive the email in the usual text format. So who should you use? Do your homework, read reviews, eventually, make use of a trial account and see if it fits your needs. I currently use Intellicontact (Owned by Broadwick Corporation, a company specialized in software that improves communication efficiency for businesses) - check them out at www.bsleek.com/emailmarketing - they do everything I told you about in this article, plus more. best penis enlagement penis elargement fact vimax permanent penis enlargement top rated penis enlagement pills best penis enlagement surgery penis enhancement penis enlarement without pills penile enlargement information cheap penile enlargement

You are a mineral body Every part of you is made from minerals - your bones, cell structure, lymph liquid, arteries, organs, tissue, muscle, hair, and so on. You cannot live without minerals. Your body does not produce minerals. Where do you get your minerals? You get them from vegetables and fruits and good supplements. Since only 10% of the people eat enough fruits and vegetable, the rest of you are deficient in minerals. If we eat enough vegetables and fruits, why do we have to take a mineral supplement? Long time ago when the soil was rich in minerals, vegetable and fruits were jammed pack with minerals. Fruits and vegetables were not picked early, frozen, waxed, radiated, or stored in argon gas. Those who ate these vegetables and fruits obtained an adequate supply of minerals and seldom has a deficiency. Today the opposite is true. You and I cannot get enough minerals from eating fruits and vegetables. Now we eat more cooked vegetables, more vegetables in packages, fruits and vegetables that are waxed, and vegetables from other countries not processed properly. Today, we need to supplement our eating habits with a live mineral liquid to make up for the lack of minerals in the good food and junk food we eat. Here is a partial list of illnesses and their related mineral deficiencies and below each mineral is the food that is highest in that mineral. * Calcium - receding gums, PMS, panic attacks, muscle cramps, lungs weak, low back pain, kidney stones, insomnia, bone weakness, bone spurs, calcium deposits. ** Foods - cheeses, cottage cheeses, dulse, greens, kelp, goat milk, sesame seeds, unrefined cereal grains, seeds and almonds. * Sodium - restless nerves, poor eyesight, mental confusion, lack of saliva, frontal headache, white coated tongue, cracking joints, fatigue, offensive breath, stiff tendons, stiff joints ** Foods - goat milk, goat whey, black mission figs, apples, apricots, kale, kelp, prunes, raisins, strawberries, sunflower seeds, black olives, celery, dulse, asparagus, greens *Potassium - fearfulness, mental illness, low energy, pains and aches, body acidity, tendency toward violence, suspiciousness, loss of ambition, nervousness, negativity * Foods - black olives, dulse, potato peeling broth, bitter greens, kelp, Irish moss, various seeds and nuts, apple cider vinegar, soy milk, spinach, goat milk, grapes, apples, bananas, cheese, cucumbers, fish, dale, lettuce * Magnesium - A.D.D., anorexia, arterial calcification, low calcium absorption, convulsions, depression, gastrointestinal disturbances, growth failure, menstrual migraines, osteoporosis, tremors, hot temper, fainting ** Foods - seeds and nuts, yellow cornmeal, rice polishings, wheat germ, avocados, coconuts, spinach, goat milk, grapes, honey, whole wheat * Phosphorus - constant weakness, neuralgia, numbness, lack of confidence, slow oxygenation, sensitive to noise or criticism, fatigue * Foods - meat, egg yolk, dairy products, fish, almonds, rice bran, pumpkin seeds, soybeans, lentils, sunflower seeds, almonds, various types of beans, carrots, pecans, lentils, cabbage * Manganese - A.D. D., asthma, carpal tunnel syndrome, convulsions, loss of libido, miscarriage, retarded growth rate, still birth, TMJ, nightmares ** Foods - black walnuts, and other nuts and seeds, pineapple, parsley, leaf lettuce, celery, blueberries, black eyed peas, apricots * Copper - A.D.D., anemia, arthritis, behavior-violent, cerebral palsy, high cholesterol, eyelids sagging, gray or white hair, hernia, liver cirrhosis, learning disabilities, low blood sugar, slow healer, high risk of strokes, varicose veins ** Foods - liver, sea foods, almonds, greens, leafy vegetables, whole grain cereals * Selenium - age spots, aging skin, Alzheimer’s, cancer, cystic fibrosis, fatigue, heart palpitations , HIV, hypothyroidism, liver damage, muscular weakness, scoliosis ** Foods - wheat germ, bran, whole grains, onions, broccoli, eggs, seafood's, milk products, meat, asparagus, tomatoes, mushrooms, nuts * Iodine - goiter, menstrual difficulties, thinking confused, heart and lung problems ** Foods - kelp, fish, dulse, sea plants, watermelon, okra, mustard greens, green peppers, eggplant, brussels sprouts, carrots chives, artichokes, agar * Iron - fatigue, low auto-immunity, anemia, depression, low blood pressure, slow speech, poor memory, susceptibly to colds ** Foods - greens, unsulphured dried fruits, dulse, kelp, Irish moss, black cherries, black berries, liquid chlorophyll, strawberries, celery, spinach, rice polishings sunflower seeds, blackstrap molasses, eggs, goat milk, pinto beans * Zinc - A.D.D., hair loss, congenital birth defects, body odor, brain defects, diarrhea, slow healer, heart defects, hernia, impotence, lung defects, prostate enlargement, loss of sense of smell, short stature, webbed toes * Foods - goat milk, brewer's yeast, pumpkin seeds, wheat germ, wheat bran, high protein foods, cow's milk * Chromium - A.D.D., unexpected weight loss, low sperm count, pre diabetes, manic depression, learning disabilities, impaired growth, hyperactivity, coronary blood vessel disease, cataracts, low blood sugar * Foods - brewer's yeast, whole grain cereals, clams, meat, cloves and spices, corn oil. There are more minerals than the ones listed above. This is just a start, so that you can see why minerals are so important. A consistent lack of a specific mineral can lead to a serious illness. vimax buy penis enlargement pills penis elargement surgery cheap penis enlarement easy enlargement free pennis surgery way home penis enlarement penis enlagement pump cheap penis enlarement penis girth enlargment cheap penile enlargement

Yes, by all means, but it is technically called hypogonadism (low testosterone levels). Symptoms may vary, but most men will experience decreased libido (sexual desire) as well as erectile dysfunction, hot sweats, decrease in body hair, fatigue, or even depression. They also tend to lose muscle mass and gain weight due to increased subcutaneous fat. Erectile dysfunction is a common complaint of male patients past the age of 50, and although it is most commonly caused by such problems as vascular insufficiency (decreased blood flow) to the penis which usually responds well to such medications as Viagra, Cialis, or Levitra, your physician should check for hypogonadism as a possible cause and also screen for cardiovascular disease as well as diabetes. Certain prescription medications can also lead to problems with both libido and sexual dysfunction; most notably certain anti-depressants and hypertensive medications. Serum testosterone levels are at their highest between the ages of 20 to 30 and tend to progressively fall after age 40. If your testosterone levels come back low, your physician may wish to order a couple of other tests to determine the actual cause. There are other causes of low testosterone other than merely aging. If your testosterone level IS low and you are going to receive treatment, make sure that you are screened for prostate cancer. Your doctor should perform a digital rectal exam, order a PSA (prostate specific antigen) blood test, and your testicles should be examined for size, nodules and other abnormalities. Topical testosterone gel is usually the preferred method of administering the hormone. Topical 1% testosterone is available as Androgel or Testim. The starting dosage is 5 gm a day and applied to dry skin of the abdomen, upper arm or shoulders. The gel should not be placed on the genitals! The area of skin should be allowed to dry and a shirt be worn during contact with children or women as it IS possible to transfer the medicine to the skin of another individual. The serum testosterone level should be determined again about two weeks after initiating treatment. The administration of testosterone replacements have NOT been demonstrated to increase the incidence of prostate cancer, myocardial infarction, cardiovascular disease, or stroke. It can, however, elevate the PSA (prostate specific antigen) level. Treament has come a long way over the past few years with the advent of the topical applications. Testosterone used to be given by intramuscular injection which was both painful and had to be given rather frequently because the levels of the medication would not last long in the blood stream. The topical applications tend to maintain an even level of medication at all times without the peaks and valleys caused by the old injections. Testosterone replacement should improve libido, muscle mass, and well being. It can aggravate sleep apnea, cause mild acne, and gynecomastia (slight enlargement of the breasts), but NOT in everyone. It can enable a male to feel much more vibrant, improve his sexual desire, ability, and performance, and make life a lot more enjoyable overall. Copyright 2006 Ted Crawford