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

buy penis elargement pills guide to pnis enlargement

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.

vimax best enlargement exercise penis vimax penis pillss in uk

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 enlargement tool best penile enlargement surgery

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.

online vigrx penis enlarement excercises

Prices

penis elargement creamvimax penis enlargement surgeonelargement manhattan penispenis enargement pic before and aftercheap vig rx pillprosolution pennis enlargement pills

40% Order This Deal

Price: $234.95

Price Per Bottle: $39.15

Saving: $124.75

penis enlarement pills reviewpenile enlargment excersizespenis enlarement reviewpenis enlarement excersizescheapest penis elargement pills

21% Order This Deal

Price: $214.95

Price Per Bottle: $42.99

Saving: $84.80

enhancement forum free matter penis sizepenis enlagement herbfree penis enlagementnatural penis enargement technique

14% Order This Deal

Price: $189.95

Price Per Bottle: $47.48

Saving: $49.85

prosolution penis elargement pillsguide to penis enhancementpennis enlargement result

12% Order This Deal

Price: $154.95

Price Per Bottle: $51.65

Saving: $24.90

pnis enlargement secretpenis enlarement supplement

8% Order This Deal

Price: $109.95

Price Per Bottle: $54.98

Saving: $9.95

best enargement exercise penis

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.

penile enlargment surgery picture

Premature ejaculation is one of the most common sexual problems. This condition is often described as being an inability to delay ejaculation to a point when it is mutually desirable for both partners. “Between 30 and 40% of men suffer with some form of sexual dysfunction – and premature ejaculation is by far the most common” – Steve Armstrong in “Premature Ejaculation? No Laughing Matter” Sex is very important to men. Men are practically made to have greater sex drives and want sex more often than women. Thus, most men hold sex issues very personally. Whether it’s size or premature ejaculation, it all comes down to embarrassment a problem that needs to be solved without hurting yourself more. And that’s why the penis pill market has grown so much. Now on the market you can find everything from chemical based formulas to all natural enhancement pills. Having to confront and confess to your doctor about premature ejaculation is somewhat embarrassing and something you’d rather avoid. You want to face it like a man and find the solution yourself. So you go online to investigate. You sit tight and experience the world of penis pills. All basically offer you the same thing… Bigger penis, more orgasms, stop premature ejaculation, be like a porn star and more. Who doesn’t want to have all of this? Now the choice is which one to pick, and with all the news about side effects from Viagra and other pills you maybe skeptical about getting more harm done than good. Fortunately the natural herbs come to save the day. In an article by Boris Boki the author mentions, “There is always a chance to enhance your sex live with the help of food. It is not a secret that many natural enhancement pills are based on well-known ancient aphrodisiac, mostly exotic, like Cayenne Fruit, Chinese Ginseng, Horny Goat, Ginkgo and others. They also contain vitamins (Vitamin B3, Vitamin E) and minerals like Zinc.” Thus a wide majority of penis pill industries have formulated all natural penis pills without all the man-made chemicals and possibilities of dangerous side effects. Don’t go crazy now. You still got be on the safe side and read through all the ingredients before you buy any penis pill that way you’re sure it’s 100% natural. Also make sure that company has some type of reasonable guarantee, you never know. Make sure that if just incase you start to feel any side effects you can get a refund. Question solved! Penis pills do really work, as long as they’re all natural. Always make a through investigation of any penis pill you’re considering in buying, in this case you really don’t want to risk the side effects. Take some time so you can be sure to get the results you wanted. Have a better sex life, be more confident and do it all discreetly, safely, and 100% natural. enhancement manhattan penis surgical penile enlargment enlargment free penis pills sample natural pennis enlargement top rated pennis enlargement pills pnis enlargement tip pennis enlargement pills penile enlargment secret

penile enlargment surgery picture

What may surprise you is the penile size that you believe your woman wants, is the penile size that may actually determine the success (or failure) of your lovemaking! So, if you want to satisfy the subtle need of your “Madonna” to be totally filled, fulfill the compulsion of your partner to be completely taken, , and embrace your lover perfectly Everyday, read on!, Firstly, what do you think is your penile size? And how do you rate when compared with other men? Some of the latest available information shows that the average size of the male sexual organ ranges from about 2.5 to 4.5 inches (6 to 11 centimeters) when flaccid, and 4 to 8 inches (10 to 20 centimeters) when erect. While different surveys may show slightly different results, generally, they do give us an idea of where we stand in relation to other people. Another survey, in 2001 of 300 men aged between 18 to 25 years, shows that the average length of a man’s erect penis is about 5.9 inches (14.98 centimeters). The average girth (circumference taken around the middle) of an erect penis is about 5 inches (12.7 centimeters). These measurements are generally taken from Caucasian men. Asian men are about half an inch smaller on the average, while Black men are bigger by half an inch or so, on the average. So how do you measure up? And how do you measure up when compared with what you believe your woman wants? The available information tells us that most women surveyed knows that if a man thinks that his penile size is under average, or even average, he has an underachieving sexual organ. The research and studies reveal that, unfortunately, , most men make the mistake of believing that, when it comes to penile size, bigger is always better., In fact, many women who dated men with an abnormally larger penile size found that they could not comfortably enjoy certain sexual positions. These women also did not enjoy their partner pushing their organ roughly and selfishly against their cervix during lovemaking. That’s what we found out from all the research, surveys, studies and literature. , And that’s why we believe we can help you achieve and sustain the penile size that your woman really wants!, Visit Penile Enlargement Blog For More Advice. best penile enlargement pills herbal penis enlagement pills penile enlargement traction device penis enlargment stretcher penis enargement procedure vimax manual penis enlargement exercise health pro solution vimax free penis enlargement exercise penile enlargment surgery picture

With the problems associated with silicone, saline implants have come to the forefront. Still, you should be aware of negatives associated with saline implants. Negatives of Saline Implants Saline implants were problematic almost from the get go. In the 1960s, saline was investigated as an alternative to silicone because plastic surgeons were already noting the leakage issues at the heart of the silicone implant debate. The first saline implants were developed to overcome this, but punctured and deflated frequently. With the growing popularity of silicone, saline more or less disappeared as an option in the early 1970s. With technological improvements, saline started to come back on the scene in 1990s after the FDA banned most silicone implants. Saline offered a solution in which leakage was less of an issue since saline solution was not harmful to the body when compared to silicone. Indeed, a form of saline solution is often given to patients suffering from dehydration. With improved technology, saline implants have become the dominant implants. That being said, there are still issues associated with them. Notwithstanding the health issues, surgeons have always preferred silicone to saline from purely a result orientation. The solution in the implants is not as consistent as silicone, which can lead to wrinkling, drooping and general molding problems. In women with larger bosoms, the saline implants often do not provide much in the way of enlargement as they tend to flatten out. These issues are known to saline implant manufacturers, and new designs are being undertaken to address these issues. Check with your surgeon to find out the latest improvements. On the health front, saline is undoubtedly safer than silicone. That being said, there are risks associated with pursuing implant surgery. Besides the inherent risk of surgery itself, both saline and silicone implants can have problems with bacterial and fungal infection. Again, your physician can best advise you on the potential risks associated with these issues. The negatives associated with saline implants are restricted primarily to whether they provide the aesthetic appearance patients are looking for. Compared to the health problems associated with silicone, this is a relatively minor negative. pnis enlargement pic male penile enlargement free penis enlargement exercise penis enlagement surgeon natural pnis enlargement pills penis enlargment product pro solution wealth pennis enlargement excersizes penile enlargment surgery picture

Have you ever thought to yourself, "My sex life would be so much better if my partner was a just little more/less _________"? Yes, you have. It's happened. Human beings are all unique, with all sorts of physical and psychological variations that aren't always ideal for the ultimate sex life. Don't despair, however! Technology has brought us leaps and bounds forward in the search for sexual pleasure. Sex toys are no longer limited to cheap, plastic, phallic-shaped things. There is a wide variety of fun, useful products designed to improve our personal, loving sex lives and strengthen our relationships. So if the man of your dreams just happens to be a little under par in the size department, or you find yourself wanting more than he can give, it doesn't mean you can't have ultimately satisfying sex. Read on… Problem 1: "He's too small" There are a few solutions to this problem, if indeed this is a problem at all. Many men who are below average size-wise have learned to use other parts of their body to their partner's grateful benefit. But if his little guy just isn't satisfying you, there are quite a few things to try. First, try different positions: let him take you from behind while you squeeze your legs together, or lie on your back with your knees at your chest and your feet over his shoulders. These positions allow deeper penetration, tighten your vaginal canal and increase sensation for both of you. You can also have him try a penis enhancer. These come in all sizes and shapes to lengthen, thicken, support, and satisfy whatever need you both may have. Third, work your PC muscles. A good set of Smartballs, an updated version of Ben-Wa balls, will strengthen and tighten your internal muscles. With your vaginal muscles primed and toned, you'll be amazed at how much more you'll feel during sex. Problem 2: "He's too big" Sorry to disillusion you, guys, but bigger isn't always better. A huge member doesn't always guarantee pleasure; it can often cause pain for women with tight or short vaginal canals. The best solution to this problem is lots of foreplay! Spend lots of time getting her excited using your hands or mouth. When she's ready, slather on a healthy dollop of lubricant and ease in slowly. Silicone-based lubes tend to work best for easing the friction of a tight fit. If he's really long, try a set of penis donuts. These fit tightly at the base of the penis so he'll still receive stimulation, but they're wide enough keep him from going further in than she's comfortable with. Some positions to try: her on top, so she's in complete control of penetration and speed. Side-by-side also limits how deeply he can penetrate. Problem 3: "He wants it all the time" If your partner is always after you for sex, and you're never "in the mood," you may be setting yourself up for some serious long-term relationship problems. Try not to think of this as his problem; there are a number of solutions you can enact that can directly affect you. Some things to try: *Make sure you're keeping a healthy sleep schedule – Not enough sleep leads to a reduction in testosterone, the hormone that gives you a healthy libido. *Take active responsibility for your sex drive – Figure out what turns you on, don't leave it to your partner to guess. When you pinpoint what gets you in the mood, do it often, share it with your partner, whatever it takes to enjoy yourself. *Identify and work out issues with your body image – The better you feel about your body, the more likely you are to enjoy sex. This may require getting a gym membership or scheduling counseling. *Initiate sex, even if you're not in the mood – By taking the reigns, you take control of the situation, which can be a major turn-on for you. You don't even have to go all the way. Oral sex or even manual stimulation will make your partner equally grateful, and can rev up your own lagging libido. *Fantasize – Let your body and mind get in the mood without the pressure of having to perform or please someone else. Find a fun vibrator or other toy help you enjoy your alone time. The more you exercise your libido, the healthier it'll become. Problem 4: "He doesn't want it as much as I do" Biology has set us up for a cruel trick: as we age, a woman's sex drive goes up while a man's libido starts to fall behind. While many women fear this is because they have become less appealing to their partners, in most cases, this couldn't be further from the truth. Here are some things you can do to help yourself out: *Masturbate – When you need to take the edge off, close the door, turn on some music, and spend some quality time with your favorite rabbit vibrator. *Make sure it's sex you're after – Identify whether you're actually craving sex, or if you're looking for love, intimacy, affection, or a stress-reducer. There are other ways of receiving these without depending on sex. *Know your partner's appetites – Learn what turns him on and off. Explore all the options of the things they enjoy, broaden your repertoire of sexual knowledge, and be sure to mix it up. A simple sex swing can make your sex lives seem brand new again. *Utilize the quickie – Sex doesn't always have to be an hour-long excursion. Use lots of lubricant and make the most of whatever time you have. Take an active role in improving your sexual happiness, and you'll find that you both benefit. Life changes over time, and your wants and needs will forwever be fluctuating, so be sure to communicate, work through whatever issues you may have together, and don't be afraid to try new things. Satisfaction comes to those who work at it! surgical penile enlargment vigrx pic vimax penis enhancement pills product free penis elargement technique natural penis enhancement technique do penis enhancement pills really work surgical penis enlarement penile enlargment surgery picture

Dial 1-800/AIDSNYC Every Monday and Wednesday morning, promptly at 10 a.m., I leave behind my daily life and turn to volunteering as an AIDS Hotline counselor at New York City’s GMHC [Gay Men’s Health Crisis], the nation’s largest social service agency for AIDS. For the next four hours, my co-volunteers and I sit in front of a bank of constantly-ringing telephones, talking to men, women, and teens who call in from across the nation with urgent questions about AIDS, the ravaging disease that has left 13.9 million people dead worldwide. After almost 20 years, a whole generation, families are still facing the heartache of tending the sick, while scientists continue to be confounded by this stubborn, ravaging virus. Although the federal government currently spends$4 billion per year on AIDS research, and $15 billion worldwide, there is no cure in sight for the viral infection and no vaccine available. Small wonder that the GMHC AIDS Hotline, the nation’s first, is flooded with more than 40,000 calls each year. Listening to callers 8 hours each week, I often think the Hotline is actually a direct link to the soul of callers--an anonymous forum that allows each to reveal secrets and fears that they might otherwise never discuss with anyone. A Morning in May This is the way it began: “Good morning, GMHC AIDS Hotline, can I help you?” “Yes...I have a question...[hesitantly] My son...he’s 21...and he just found out...he’s HIV-positive [voice breaking] I’m.....alone, divorced. And I need some help...someone to talk to...” “Of course....happy to talk to you...it sounds like this has been devastating for you....” “It’s terrible. He told me two nights ago....he’s...he’s so young....I don’t want him to die. He’s my only child....why did this have to happen?” [crying] Her son, she explains, had sometimes neglected using condoms, convinced he wouldn’t contract HIV infection from his female partners. “How could he be so stupid?” she now asks angrily. “Why didn’t he know how to protect himself? I don’t understand. What am I going to do?” We talk for 35 minutes, and by the end of the conversation, I notice I’m barely breathing. The distraught woman’s anguish is palpable. Her situation is every mother’s worst nightmare.The life of her child is in jeopardy and she feels helpless and afraid. I can’t imagine anything worse. During the call, I do my best to employ the GMHC Hotline protocol of “active listening,” which involves using silence, empathy and gentle probing with open-ended questions. I’m also having my own emotional reaction to the panic in her voice, and I’m worried about whether I’m doing enough. Toward the end of the clal, when she exclaims: “I don’t want my baby to die,” my heart plummets: “I know....I understand that, but there is hope,” I tell her. I find myself on the verge of tears. The Bad News This mother’s story is too common. According to the Centers for Disease Control in Atlanta, Ga., 40,000 Americans (half of them under 25) are newly infected with the AIDS virus each year. Unprotected sex and intravenous drug use remain the principal modes of transmission. “Teenagers,” notes AIDS activist Elizabeth Taylor, “are being very hard hit.” She refers to the three million adolescents who contract a sexually-transmitted disease annually. “Heterosexual teenage football players who are healthy and drink milk can get it too!” says the 71-year-old actress, who has singlehandedly raised $150 million for AIDS research. “But teens are very ignorant and feel invincible. They believe there’s an invisible shield protecting them from the virus, when it’s actually aimed right at them.” Taylor believes in addressing the problem head-on: “Tell your teenage son: ‘Maybe a condom doesn’t feel as good, but if it saves your life, it’s better than being six feet under.’ Intelligence must replace random sex.” Although a new generation of AIDS-fighting medications is prolonging the lives of thousands, nearly half of the 900,000 people infected with HIV in the U.S. cannot afford these drugs. Since the virus was discovered in l981, 410,800 Americans have died from AIDS-related complications, and the disease has left 13.9 million dead worldwide. Who Calls a Hotline? Not long ago I took a call from a 15-year-old boy living in a small town who said he feels guilty about his sexual attraction to other boys and is scared to discuss this with his parents. I ask him if there’s a school counselor or relative he might talk to, but he says he’s too afraid to confide in anyone. Being a teenager is hard enough, I thought, without the pressure of keeping this kind of secret. I felt angry and saddened that this child can’t comfortably discuss his feelings with his own parents. I encourage him to call the Gay Community Center Youth Program in a nearby city. In the meantime, I assured him that he could call our Hotline anytime, that we’d be there for him. This call was typical of the many we get from teenagers,whispering from their parents’ homes, confiding their blossoming sexual feelings and concerns. Our Hotline also receives calls from married men who phone from their offices, worried about extramarital sexual encounters; gay men suffering side effects from medications; mothers caring for a sick child or grieving for one lost to AIDS; even health care professionals themselves confused and requiring burnout support. One particular morning, I’m struck by the number of single women who turn to our hotline for help. At 10:15 a.m. a distraught young woman calls, explaining that she had been dating someone “very charismatic,” after a two- year period of sexual abstinence. “At first we used condoms and I was taking the pill to avoid pregnancy,” she says. But after her partner assured her he was HIV-negative, the couple began having unprotected sex. A few months into the relationship, she recounts, his behavior became “unpredictable,” until he finally admitted he was sleeping with other women and was addicted to heroin. Now she has to withstand the “terror” of waiting 3 months before getting an HIV antibody test. To help her cope, I give her the names of three terapists in her area. The call lasts 43 minutes. At 11:15 a.m. I take a call from a woman who is breathing heavily. She says that four months earlier she’d had a brief affair with a limousine driver, “not out of passion, but because I felt lonely. This was so totally unlike me,” she continues. “I come from a traditional Orthodox Jewish family...” Although they used condoms, and she has since tested negative for HIV, she feels deeply ashamed, and has stopped seeing him. And because she has both a persistent vaginal yeast infection and a rash on her neck, she’s convinced she must be infected by HIV. Although rashes, high fever, swollen lymph glands, heavy night sweats, sore throat, or other flu-like symptoms may indicate HIV, they can just as easily accompany the common cold or flu, or other type of infection. I encourage her to seek medical help and counseling, but the calls ends on a down note. “I must have it [AIDS],” she moans. I’m exasperated because it doesn’t sound that way to me, yet I can’t get through to her. The call lasts 22 minutes. It’s 11.38 a.m. when a well-spoken woman, who says she’s an attorney, calls from her office, asking for the names of anonymous testing sites. At first very businesslike, she calmly takes down all the information. I ask her why she’s considering a test. Total silence. Then she begins to cry: “I....I can’t talk....I’m sorry...you see, I have swollen lymph glands....[crying]....And my doctor wants to rule out HIV...I feel overwhelmed...” Then, abruptly: “Where can I send a donation?” She thanks me and hurries off the phone after just 3 minutes. These were one-time callers, but, as in any epidemic, an element of panic prevails, and our hotline also attracts an army of “chronic” or repeat callers who are intensely fearful no matter how benign their risk, many revealing continued misconceptions and paranoia about a disease that can be effectively prevented. We do our best to help them, but often they’re impervious to counseling. Most poignant are calls we get from AIDS patients, phoning from their hospital beds, attempting to navigate the exhausting labyrinth of insurance and health care matters. One man, in hospice care, said he craved companionship and missed the “good old days” when he was handsome and healthy. That call was a tough one for me as just the day before a close friend of mine, Joe, who had battled HIV for 16 years, had finally succumbed. Although at the end Joe was a mere skeleton, he was nonetheless at peace. “I’ve done what I wanted to,” he told me on our last visit. An avid gardener, he insisted on a final trip to his country house to see his garden one last time. For a moment the caller’s reality and the memory of my deceased friend blurred in my mind and I was overcome. Time for a break. Face to Face One of the most and unique services GMHC offers is called “A-Team Counseling,” a one-time, in-person session that’s free and anonymous. Recently, I was on an A-Team counselling a 26-year-old HIV-infected mother from the Midwest. She had traveled to Manhattan by bus to find her estranged boyfriend, who, she recounted tearfully, had kidnapped her 7-year- old son. Disheveled, painfully thin, the woman was a disturbing sight. She’s learned that the two had already returned home where the boyfriend was, and the child put in his grandmother’s custory. custody of his grandmother. Meanwhile she’d run out of money for the return trip, been refused a loan by her family, lost her ID, gone hungry and spent two nights on the street. Fortunately, this woman was registered at a local AIDS organization in her town. I telephoned her caseworker and persuaded him to buy her a one-way Greyhound bus ticket for $115.00. I also gave her subway tokens, a basket of food, juice and coffee. Smiling shyly, she thanked me for caring. Shaking hands good-bye with this woman was a bittersweet farewell. What will happen to her? I wondered will her health deteriorate or improve? Will she gain control of her life and be able to provide for her son? I’ll never know. One thing I do know: She’d appeared with the sorrow of a difficult life in her eyes, but when she left, she was elated at the thought of being reunited with her child. It seems that with faith and a helping hand, almost anything is possible. * * * * * 10 BIGGEST MISCONCEPTIONS ABOUT AIDS AND HIV (This list would probably be most effective when presented in a vertical chart, the misconception on the left, the correct answer on the right.) 1)The AIDS virus can be transmitted through saliva, sweat, tears, urine or feces; also through deep kissing. 1) HIV can ONLY be transmitted through four bodily fluids: blood, semen, vaginal secretions and breast milk--and can also be transmitted from a mother to her child before birth, during birth, or while breast feeding. The exchange of saliva through kissing is no-risk, unless the saliva has blood in it and both you and your partner are bleeding in the mouth simultaneously. 2) HIV may also be transmitted through casual contact with an infected person. 2) You can’t get infected from toilet seats, phones or water fountains. The virus can’t be transmitted in the air through sneezing or coughing. You can’t get HIV from sharing utensils or food or from touching, or hugging. HIV dies after being exposed to the air. Therefore, touching dried blood on a shaving blade, a toothbrush or a bathroom counter top is no risk. In any case, unbroken skin is impermeable, like a rubber raincoat, and cannot absorb the virus whether it’s alive or dead. Blood transfusions and medical procedures in the U.S. are safe. Giving blood is completely risk-free. The chance of getting HIV from dentists or other health care providers is too low even to measure.You can’t get it from mosquitoes or other insect or animal bites. 3) Oral sex is just as risky as vaginal or anal intercourse. 3) Although not 100% risk-free, oral sex is considered a low-risk activity,except if: you have bleeding gums, recent dental work, open sores such as a herpes lesion, any cut, blister, or burn in the mouth, or if you’ve just brushed or flossed your teeth. Also, oral sex with an infected woman is riskier if she is having her period, since menstrual blood can contain HIV. Overall, latex barriers, (such as condoms or dental dams) used during oral sex reduce the transmission of not just HIV, but other sexual transmitted diseases. 4) Animal skin, latex and polyurethane condoms are all equally effective in preventing HIV infection and you can use ANY lubrication on the condom desired. 4)Only latex or polyurethane condoms may be used, as HIV can pass through an animal skin condom. With latex condoms, only water-based lubricants--like K-Y jelly or H-R jelly--may be used. No lubricants with oil, alcohol, or grease are safe.Petroleum jelly,Vaseline, Crisco, mineral oil, baby oil, massage oil, butter and most hand creams can weaken the condom and cause it to split. However, with polyurethane condoms, petroleum-based lubricants can be used. 5) Women have to rely on men using condoms during intercourse to protect themselves against HIV. 5) Women may employ the “female condom,” a plastic sheath that can be inserted in their vaginas and used for protection against HIV. It can be inserted up to 8 hours before sex, has rings at both ends to hold it in place and can be lubricated with oil-based lubricants that stay wet longer. In addition, women can carry conventional condoms for their male partners’ use. 6) If a woman is HIV-positive, her offspring will automatically be born infected with HIV. 6) With no medical treatment taken, about 25% of HIV-positive women will give birth to infants who are also infected. However, the use of anti-HIV medications has resulted in a significant decrease of mother-to-child transmission of HIV in utero and during delivery to less than 5%. (NYT 10/19/ 99]. 7) AIDS is fundamentally a gay disease contracted by white males. 7) Recent data compiled by the Centers for Disease Control and Prevention indicate that young gay Hispanic and African-American men and heterosexual women are the fastest growing segment of the population being infected with HIV. Women now account for 43% of all HIV infected people over age 15. [NYT 11/24/98] African-American and Hispanic women account for more than 76% of AIDS cases among women in the U.S. 8) Heterosexual men are not really at risk for contracting HIV, even if they don’t use condoms. 8) The inside opening of the penis is composed of highly-absorbent, sponge- like mucous membrane tissues, which can provide a route for HIV-infected vaginal secretions or blood to enter the bloodstream. Proper condom use protects men from infection. 9) The AIDS epidemic is largely over because new AIDS medications like protease inhibitors and others have turned AIDS into a chronic, not a terminal disease. 9) In the U.S., AIDS is the fifth leading cause of death for people 25-44 years old. Roughly half of all those infected with HIV in the U.S. are not receiving any medications or medical care. AIDS now kills more people worldwide than any other infection, including malaria and tuberculosis.[NYT 11/24/98] In 1998 alone, 2.5 million people died of AIDS worldwide. 13.9 million people have died since the virus was discovered in 1981. 10) If you think you’ve been exposed to HIV through unprotected sex, you can take an HIV antibody test 2 weeks later and get an accurate result. 10) The standard “window” or waiting period remains a full 3 months. However, because the widely-used HIV antibody tests (The ELISA and Western Blot) have become so sensitive, about 95% of people will procure an accurate result 4-6 weeks after a possible exposure to the virus. * * * * [Note:The information stated above was reviewed for medical accuracy by Dr. Todd J. Yancey, an infectious disease specialist practicing in New York City and affiliated with New York Presbyterian Hospital, NY, Cornell Campus.] THE CHILD LIFE PROGRAM “Mommy takes a lot of medicine and Mommy’s really tired sometimes and she can’t take you to the park as much as she used to. It’s not that I don’t love you...and that I don’t want to...but Uncle Jack’s going to take you to the park today.” --A mother living with AIDS, a client at GMHC, talking to her 6-year- old son. In New York City alone, 28,000 children have been orphaned by AIDS since the epidemic began [NYT 12/13/98] GMHC’s unique Child Life Program serves HIV-infected parents and their children--who may, or may not, be infected with the virus. “We help families strengthen their ability to cope, relieve the pressure of parenting with support services, and teach parents how to talk to their kids,” says Child Life Program Coordinator Alison Ferst. “Unfortunately, should a parent or child be sick enough to be facing death, we also help them walk through it with grace and dignity---as opposed to feeling alone, isolated and frightened. “We also encourage sick parents to make stable legal plans for their children who may be left behind,” adds Ferst, “and to have disclosure conversations with the children in advance, so you don’t have a child standing at her mother’s funeral, not sure where she’s going next.” When an HIV-infected Mom arrives at GMHC to have lunch, attend a support group, consult with a lawyer, or access the acupuncture clinic, she can leave her children in a spacious playroom, decorated with fanciful murals and a giant tree hand-painted by the famed children’s story writer and illustrator, Maurice Sendak, who donated his art. [see photos] The program provides: child- sitting, nutrition services, a food pantry, art and magic classes, and recreational trips--church picnics, seasonal apple-pumpkin picking, amusement parks, zoos, museums, beaches. Also: homework help sessions, holiday parties, hospital visits, summer sports and weekly support groups for HIV- positive parents and their HIV-negative children. This unique program also features: Cooking classes for kids who sometimes prepare meals for sick parents; Pediatric Buddies, GMHC adult volunteers who play with sick children and also assist with family chores; Fun With Feelings Support Group, Friday Evening Family Time, Birthday parties, and a Holiday Gift Drive. “Children infected or affected by AIDS,” concludes Ferst, “want to be like other kids: They want to play with their friends, want to know that someone will always take care of them, want to know they’re not alone, and often wonder if it’s their fault when Mom or Dad gets sick.” These children need a helping hand and any of us can provide one.