top rated pennis enlargement pills

To give a women pleasure, it is important to understand the stages of the female orgasm and what they mean to give your partner pleasure and satisfaction. In Western terms, the female orgasm is (from the Greek orgasmos, "to swell"), is also known as the sexual climax; a pleasurable physical, psychological and emotional response to prolonged sexual stimulation. A female orgasm, like the male one, is often accompanied by a notable physiological reaction, such as blushing with or without spasms and may be followed by additional spasms known as aftershocks. In the East, as described in the Chinese Tao of sex, the female orgasm is far more categorized, and is said to have 9 stages. Most men (from the East and West) who are not aware of the 9 stages often stop at stage 4, thus depriving the woman of the ultimate pleasure available to her. The 9 stages are as: The 9 stages of female orgasm 1. The “lung” stage, where the woman “sighs”, breathes very heavily and salivates. 2. The “heart” stage where the woman is kissing her man often extending her tongue out to him. 3. The “spleen, pancreas, and stomach” stage where the woman’s muscles become tense, and she grasps her man tightly. 4. The “kidney and bladder” stage where the woman experiences a series of vaginal spasms, and she will have much vaginal secretion simultaneously. The untrained man believes this is the climax. 5. The “bone” stage, where the woman’s joints loosen and she will bite her partner. 6. The “liver and nerve” stage, where the woman moves like a snake under or over her man, and she will wrap her arms and legs around him. 7. The “blood” stage, where the woman’s blood feels like it is boiling and she is grasping her man everywhere. 8. The “muscle” stage, where the woman’s muscles totally relax, but she is known to grasp even more and bite the man’s nipples. 9. The “complete body” stage, where the woman finally collapse, and feels what is known as the little death. Psychological stages of the female orgasm Certainly the Eastern approach to a female orgasm is far more organized than just a “sexual climax”. But looked at more carefully, lets understand what is happening physiologically. The female orgasm is preceded by moistening of the vaginal walls, and an enlargement of the clitoris due to increased blood flow trapped in the clitoris's spongy tissue. Many women exhibit a sex flush; a reddening of the skin over much of the body due to increased blood flow to the skin. As a woman approaches her orgasm, her clitoris retracts under the clitoral hood, and the labia minora (minor lips) becomes darker (due to blood swell). As her orgasm becomes imminent, the vagina decreases in size from 25% to 40% and also becomes congested from engorged soft tissue. The uterus can then experiences muscular contractions. A woman experiences full orgasm (in Western terms) when her uterus, vagina and pelvic muscles undergo a series of rhythmic contractions. The majority of women consider these contractions to be very pleasurable. It is at this point, Western and Eastern conceptions differ. In Western thought, after the orgasm is over, the clitoris re-emerges from under the clitoral hood, and returns to its normal size in less than 10 minutes. Multiple female orgasms Unlike men, women either do not have a refractory period or have a very short one, and thus can experience a second orgasm soon after the first; some women can even follow this with additional consecutive orgasms, up to eight have been reported amongst some people; this is known as having multiple orgasms. In Eastern thought, these are just part of the process. Again, in Western thought, a distinction is sometimes made between a clitoral and a vaginal orgasm. A female orgasm that results from combined clitoral and vaginal stimulation is called a blended orgasm. In Eastern thought, this is getting closer to stage 9. A final consideration is the case of female ejaculation. It is not considered at all in Eastern thought, but in the West there is a long-standing discussion about the existence of Female ejaculation (colloquially known as squirting or gushing). This refers to the expulsion of noticeable amounts of fluid from the urethra or vagina during sexual stimulation at or near orgasm. The expelled fluid is reported variously as: • Urine, possibly due to stress incontinence, • A clear or milky fluid which emerges (sometimes with force), has a composition similar to the fluid generated in males by the prostate gland, and is generated by Skene's glands, or • A mixture of these two fluids. • None of the above, but only an excess of vaginal lubricating fluids, and is a concept used to support feminist theory or the stuff of interest for porno films. The fact is the female orgasm goes through various stages knowing what these stages are and what to expect means that you can respond and guide you women to ultimate satisfaction. Find out how to help your women orgasm in part 2 This is discussed in part 2 “helping your women reach orgasm every time” natural penis enlagement pills free natural penis enlargment penis enhancement traction device vimax penis enlargement before and after photo vimax male virility sexual enhancement penis enhancement traction device get vig rx best penis enhancement

top rated pennis enlargement pills

Most of the questions asked to sexual health experts are about men's early ejaculations and women's orgasm troubles. When you read this you may say: It's normal, if man is coming off quickly, woman couldn't have an orgasm! But if you really think for a few seconds, surprisingly, you won't see any relation between these two events. Because, a man if he is not a boor, will prepare his woman to reach her orgasm before his ejaculation. The other highly popular question is about the penis size! After all that porn movies many people are really confused. How and where to find such a prominent organ? What is the normal size? How thick and long can be the biggest? How small is acceptable for lovemaking? Every man's genital is different as his finger print and the role of the penis size in a happy and successful sexual relationship is not such important. At least you don't have to be such stupid to pay sack full money to programs, drugs or advice for making it bigger! Even with a huge organ a man's chance is very limited to make her achieve an orgasm if he is not a good lover and doesn't know proper sex techniques, most probably he will cause pain instead of pleasure. Even a man who has a miniscule dick may be a perfect lover! The only way is to learn how to make better love, how to be a better partner, instead of being paranoiacly distressed. This is normal and this is your body, love it and try to use it more creatively and with more love. Kiss and caress every part of your partner's body for long time, arouse her enough, and go down and give her a nice oral love... until she reaches the climax. Believe me, every woman loves and prefers such a talented lover in the place of a big dick entering a few times into your vagina before spurting out and then sleeping in his side as nothing happened! Naturally! Having a small organ is not a guilt, a crime, if he knows his body and has developed many better solutions he is absolutely a CLEVER man and a perfect lover! In regard to early ejaculations... This, also, is not a crime and if the man has not an organic disorder, may be corrected with some effort. But many men, instead of paying attention to their situation, act like early coming off doesn't make any difference in their sex life! Which may be true! Actually you may consider the natural disharmony between two genders. Men, by their nature, want to thrust into a hole when aroused and squirt in, that's all! But woman needs a prior preparation, a foreplay of at least 10-15 minutes to be concentrated and ready for insertion. One woman likes this position, another may choose that position, many women request clitoris stimulation besides men's thrusting... Many fatiguing services asked from men! And furthermore, if a serious and passionate relationship doesn't exist between partners, men are really exhausted in the bed. Is a natural error, an innate lack of harmony exists between men and women? Let see some different type of early comers: Type A: The worst. He doesn't even know he is an early comer. When he likes, he takes the woman under him and ejaculates. He doesn't care anything else! For the woman's orgasm? What is that? He hasn't heard anything about woman's orgasm! Type B: He knows about woman's orgasm but act like he doesn't know. Same of the Type A, he pulls the woman under and he comes off, the only difference, if by mistake or pain, woman makes a weak sound like "ah" he will suppose she reached an orgasm but for his comfort, he will never ask her the truth! Type C: He knows his disorder, he is sad and wants to visit a doctor but he is shamed or can't find the time to go! As a foreplay he kiss and caress her a little but he can't wait and comes off. Sometimes he can't even find times to thrust his dick into her. He is sad but life goes on! Type D: He is aware of his early ejaculation disorder but he also knows his partner's orgasm right! So, he will kiss and caress her at great length, give her a great oral love and bring her to an orgasm. Then start to make love for himself and he comes off. Because his partner reached orgasm before his quick ejaculation there is no trouble. Partners are relaxed and happy! That means, if a man is understanding and clever the early ejaculation is not an important obstacle on the way of a happy sexual relationship. Man may visit a doctor and try to find the main reason behind this disorder and get a treatment which is totally normal, but meantime he is kind and not selfish, gives her ultimate pleasures to reach her orgasm. An absolutely good sex for a woman is a normal dick size, a foreplay at length, long kisses and caresses, staying inside her long enough with many thrusting, knowing her favorite positions and giving her the best pleasures... not insisting on what he wants, but understanding her and giving her what she needs to get her climax. Please remember that if she has reached to one orgasm in her entire life, she knows the best position for her, and an intelligent man never insists on a new position which may cause a lack of concentration, he will follow her orientations. Finally, what is the woman's responsibility in creating a harmonious sexual relationship? Women must talk and describe what they want clearly. Of course talking to the boors will not produce a positive result but intelligent men may understand your needs. Do not imitate orgasm or do not keep silent and sleep... talk to your lovers and kindly explain your desires, if not you will lose your sexual desires and even you won't be able to masturbate and get orgasm by yourself in the future! penis elargement surgery picture penis enlargement without pills safe penis enlarement penis enlargment secret free pnis enlargement tip herbal pennis enlargement free penile enlargement does pennis enlargement work top rated pennis enlargement pills

Introduction Trieste is an Adriatic coastal city in northeastern Italy, close to the border with Slovenia. The sea in the Gulf of Trieste is very clear and clean, with limestone cliffs and rocky beaches. The centre of the city has a mid-European feel, more Austrian than Italian, Trieste was the seaport of the Hapsburg Empire. Unique Points You can enjoy a combination of a sea/beach holiday and the attractions of a cultural city. It is an ideal destination for a short break but you could easily spend a week here too. The Verdi Theatre hosts an opera season in the winter and an operetta festival in summer. You can swim in the beautiful clear sea, stroll the promenade, and walk along the cliff paths. Take in the wonderful art collection at the Revoltella Museum. You can sip coffee on Piazza Unita Italia with its grand 19th century buildings, which face onto the sea. Getting there Ryanair flies into Trieste from London Standsted. The airport is 35 kms west of Trieste but there is regular public transport on Coach 51 into Trieste. Getting around If you do decide to hire a car, it is worth checking that you can take it into Slovenia and Croatia if you are considering day trips there. Trieste has a good public transport network. There is a "Trieste by Bus" city tour in 13 stops. This is available on Saturdays and Sundays at 2pm from the end of June to mid October. The two and a half hour trip allows you to see the city's main attractions. The cost is around five euros per person. You can take the Opicani tram up to the Carso plateau, 348 metres above sea level. This funicular tramway was built in 1902. The tram leaves from Piazza Oberdan in the city centre up Scorolo hill to the plateau above. History According to folklore Trieste was founded by Tergeste, a friend of Jason and the Argonauts. Ancient Tergeste as a Roman colony is dated to around 178 BC. It became more important during the reign of Octavian when roads were improved. The city has had many rulers during its history: Goths, Byzantines, and Lombards. In the 13th century Trieste was forced to swear allegiance to Venice. To escape Venetian domination, Trieste sought the protection of Duke Leopold of Austria. Trieste was of great importance to the Hapsburg Empire as a seaport and was made a Freeport in 1719. Without customs barriers the port and city flourished. At the end of the First World War with collapse of the Hapsburg Empire, Trieste was returned to Italy in 1918. Trieste was taken over by the Third Riech when Italy withdrew from the Second World Ward in September 1943. Two years later there was a 40-day Occupation by Tito's Yugoslav forces. After 9 years under an Anglo-American government Trieste was handed over to the Italian government. Trieste's history may help explain why 70% of Italians apparently did not know that Trieste was part of Italy in a recent opinion poll! With EU enlargement Trieste is ideally placed as the only natural port in the centre of Europe. Trieste is one of three finalists to host the international Expo of Science, Technology and Culture in 2008. If its bid is successful there will be more investment in the area and Trieste will become better known on the world map. Literary Connections The Irish author James Joyce lived in Trieste during the early part of the 20th century. When he first arrived he worked as a tutor at the Berlitz School of English. He went on to write "The Dubliners", "The Portrait of an Artist as a Young Man" and start "Ulysses" in Trieste. The rich mix of central European and Eastern Mediterranean culture in Trieste is said to have had a great influence on his writing. Joyce was English tutor to Itali Svevo, the Italian novelist. Svevo was born in Trieste in 1861, his Mother was part of a Triestian Jewish family, and his Father was of German descent. Joyce encouraged and praised Svevo's work and Svevo wrote critiques of Joyce's work. Svevo's book, "The Confessions of Zeno", was virtually ignored in Italy. However Joyce recommended the book to publishers in France, where it was hailed as a masterpiece. The book is an autobiography of Zeno, written for Zeno's psychoanalyst, to help get to the bottom of his smoking addiction. Svevo is credited by Welleck as "an Italian novelist with permanent appeal as a psychoanalytical psychologist and as a portrayer of the inhabitants of Austrian and later Italian Trieste and their often uncertain national allegiance." Jan Morris wrote the book, "Trieste and the Meaning of Nowhere". Morris claims this is her final book, a self- examination based in Trieste. Morris changed gender. Jan Morris first visited Trieste at the end of the Second World War as young Welsh soldier. She describes how the city "curiously haunted her" . She revisited the city as an elderly woman. Morris describes Trieste as "natural capital of the nation of nowhere". By this she means a home for the so-called "Fourth World" . This is a scattered group with the common values of humour and understanding, usually exiles in their own communities but probably numerous enough to form their own nation. I laughed at Clay Risen's comment in his piece about Trieste in the Square Table in Spring 2003. He observed that "Trieste is the only city in Eruope which appears more often in reflective essays than in guide books of newspaper travel sections." Exploring the city The best way to explore the city is to walk around. The Piazza dell' Unita d'Italia is the heart of the city. The square was created towards the end of the 19th century. It houses the City Hall, with its clock tower featuring statues of Mikeze and Lakeze, figures from Trieste folklore; Government House, with its gilded mosaic wall decorations; and the former Head Office of Lloyd Triestino, built in Renaissance style by an Austrian architect. The Victory Lighthouse lights the Gulf of Trieste and commemorates the dead of the First World War. It stands almost 70 metres high with a scaled dome containing a statue of winged Victory. At the base of the column is the anchor of the torpedo boat Audace, the first Italian ship to enter the harbour in 1918. The lighthouse took 4 years to complete and was officially opened in 1927. The Old Stock Exchange is a fine example of neo-classical architecture, resembling a Greek temple. The Old Stock Exchange stands by the so called Grand Canal. However this is rather an misnomer as the canal is very short. There is a statue of Joyce by one of the bridges. The Arco di Riccard is a Roman gate to the city thought to date from 33 AD. It is in Piazzetta di Ricordo in the old city. You can see the Roman amphitheatre at the foot of San Guisto hill. The Verdi Opera Theatre opened in 1801. It is of a similar style to La Scala in Milan. Museums There are many museums in Trieste, most of which are closed on Mondays. Probably the best is The Revoltella Museum, which was founded in 1872 when Baron Revoletta left his home and art collection to the city of Trieste. He also set up an endowment, which enabled a larger collection to be acquired. The Art Gallery has now spread over three buildings in order to house the ever-expanding collection by many Italian and other artists. Other museums include: The Regional Centre for the Study of Ancient and Modern Military History The Civic Museum The Museum of Oriental Art Piccolo Pharmacy Museum The Railway Museum Café society As Trieste is a port it was one of the first European cities to take to coffee in a big way. The first coffee houses in Trieste opened at the beginning of the 18th century. These cafés become very popular with artists and intellectuals. Several of the original cafes are going strong, the Tommeseo and the Cafee degli Specchi. Triestines are very particular about their coffee. If you order a cappuccino the Trieste version will be a black coffee with a little milk. You would need to order an Italian cappuccino. Mixing spirits with coffee is a no-no, viewed as a beverage favoured by foreign lorry drivers! Cultural and Sporting Events The Barcolana is held on the second Sunday of October. This is a sailing competition which has run for 30 years and has almost 2000 vessels competing. There are other events during the week such as the Saturday nighttime regatta. The winner is the boat, which can achieve the highest number of laps around the San Guisto basin. The Music Festival takes place for three evenings at the Piazza d'Italie. There is a line up of Italian and international talent and it's free. From October to May the concert and opera season unfolds in the historic neo-Classical Teatro Comunale Giuseppe Verdi (opened in 1801 and designed by Matteo Petch, architect of Milan's La Scala) and the modern Sala Tripcovich. The festival of Light Opera is held in July and August at the Verdi. Figures of international renown congregate in Trieste for performances of such works as Fritz Kreisler's "Sissi", "The Land of Smiles" and Franz Lear's "Judith". Castello Miramare This castle was built for Archduke Maximilian as a residence by the sea. Maxilmilian and his wife, Charlotte of Belgium, came to live here in 1860. However their stay only lasted for 4 years as Maximilian was despatched to Mexico, where he been offered the throne in an attempt to end the Civil War there. Rebel forces killed Maximilian. Charlotte lived at the Castello alone briefly and then returned to her native Belgium. You can visit the castle and gardens. In July and August the tragic love story is brought to life in a "Sons et Lumieres". The voice of the Castle caretaker recounts the love story of Maximilian and Charlotte. Performances in English and German can be requested on Saturdays by phoning +39 40 414177 Castello di Duino This old castle dates from the 11th century, the only recognisable remains are the tower and an arch. The new castle was completed in the 15th century. Legend tells that in medieval times a young princess fell in love with a local boy. Her Father locked her away in a tower and had her lover killed in the courtyard below and the corpse thrown in the sea. In despair the Princess leapt from the tower, her screams turned her to stone as she hurtled down. Near the shore is a rock that looks like a woman's body. Some say that "Dama Biance" still haunts the area searching for her lost love. Duino Castle has only recently opened its doors to the public. Prince Carlo Allessandro and his family still live in the castle. The castle has accommodated many famous guests: Dante, Listz and Struass. The coastal path, the Rilke Promenade from Duino to Sistians is named after the German poet, a guest at the castle from 1911 - 1912. The Grotta Gigante, the Giant Cave This cave is the largest accessible cave in the world. It is estimated that you could fit St Peters Cathedral inside. The cave was first explored in 1840 by Lidner. In 1904, a four- year project started to turn the cave into a tourist attraction. It took 4000 candles to light the cave, electricity was only installed in 1957. There are hourly guided visits. You can find out about opening hours by phoning 040 327312. Swimming The beach at Sistinna Spiaggia is said to be one of the best in Italy. It can be reached by the no. 51 and 21 buses from Trieste. Grignano is closer to Trieste and is reached by the no. 36 bus. Where to eat Harry's Grill in the Hotel Gran Duchi is one of Trieste's most exclusive restaurants. I have eaten at this restaurant. I was even served with a pre-starter, a delicious titbit of stuffed aubergine, and a pre-dessert, a lovely strawberry mousse. The accompanying bread and bread sticks has been freshly baked. My (proper) starter was stuffed pasta, the main course was sea bass, topped off with white chocolate mousse rippled with passionfruit sauce. It is entirely possible to have a lighter meal, if you can resist the temptation. In Summer you can sit out on the pedestrianised square. Main courses cost from 16 - 26 euros. Piazza dll"Unita d"Italia 2, tel: 040 660606 Al Bragozzo is the best-known restaurant at the port, which specialises in seafood. The simply yet creatively prepared meals pay homage to the sea and its heritage by combining the elements of Italian cuisine and the riches of the Mediterranean. Specialties include spaghetti alla Giorgio (with tomatoes and herbs), ravioli stuffed with herbs, monkfish braised with artichokes (and cooked with white wine), and spaghetti with lobster. There are also many preparations of salmon and shrimp. You can eat at the outdoor tables, weather permitting, if you visit in the summer. Main courses cost from 10 - 25 euros. Riva Nazario Sauro 22. tel: 040 303001. There are many buffets in Trieste. These are restaurants which specialise in pork, often in various stews, sausages and soups. Two of the best known are: Re di cappe, Via Geppa 11, tel 040 370330 Da Giovanni, Via S Lazzaro 14, tel 040 639396 Day trips Exploring the Carse The Triestine cares starts at Montefalcone in the north and stretches down adjacent to the Slovenian border. The area is known as a paradise for botanists with a mixture of continental flora and Mediterranean vegetation. There is talk of the area achieving national park status. The Carsic house in Rupingrande has a collection of traditional furniture and local costumes. During the first week in May the works of local painters are exhibited during the Majence Festival, in San Dorligo delle Valle. The best known event is the Carsic Wedding, every second year on the last Sunday of August in Monrupino. There are dances every night of the preceeding week. On the wedding day the bridal procession, all dressed in traditional costume, walk to the fortress church for the marriage ceremony. Grado and Aquiliea Aquiliea was founded in the first century BC. It occupies a strategic defence location. It became a Patriarchs's seat andmany beautiful churches were built. The Bascilica is considered to be one of the most important monuments of early Christianity. There are two museums to visit there. Grado was the extreme southern part of the port of Aquileia. Now it a beautiful island city joined to the mainland by a causeway. It boasts 20 kms of fine sandy beaches. Grado was very popular as a spa during the days of the Austrio Hungarian Empire with its healing sands. Grado can be reached by the no 21 bus from Trieste. There is also a boat service during the Summer. Muggia Muggia is a pretty coastal town just south of Trieste, which can be reached by ferry from Trieste during the summer. The town is of Venetian origin, surrounded by medieval walls with a 14th century castle and a pretty port. Slovenia The Slovenian border is just a few kilometres from Trieste. The Lipica Stud and Riding School is under a half hour drive from Trieste. It was originally founded in 1580 by Archduke Charles for breeding royal horses for the Austrian court. Now you can tour the stud farm (6 Euros) or have a riding lesson, starting at 16 euros. Croatia Croatia can be easily reached through by passing through the narrow strip of coastal Slovenia. Wine Country Every Sunday during April, May and June you can visit specific wineries in the area to try their products. There are various wine itineraries you can follow. Venice Venice can be reached by direct train from Trieste. The journey takes around two hours. The train takes you right into the centre of Venice. penis enhancement result penile enlargment without pills cheap penis elargement pills pnis enlargement pills review penis enlargement drug medical penis enhancement herbal natural penis enhancement penis enlargement without pills top rated pennis enlargement pills

The greatest source of discomfort for cyclists is the nose of their bike seat pressing on nerves and soft tissues. For men, this pain brings the additional worry of impotence. Impotence is caused by nerve and artery damage. Exercising regularly helps to keep arteries healthy, so bicycling helps prevent impotence, as long as it does not damage the local arteries and nerves. Recent studies show that three percent of regular male bicycle riders become impotent, and virtually all of them felt pain or numbness before the problem occurred. When a nerve is pinched or the blood supply is shut off to the penis, a man feels numb. Men who ride with conventional bicycle seats and do not feel numb are not likely to be at risk. If you feel no discomfort when you ride, keep on riding and stop worrying. If you feel numbness, get a new seat. Half of the penis is inside the body and the main blood supply comes from the area just behind the scrotum and in front of the rectum. So bicycle seats that press on that area can cause impotence, while those that do not have a nose and have a widened area to hold your weight on your sitz bones should prevent the problem. Some entrepreneurs developed seats that have holes in the middle. Their theory is that if there is no pressure behind the scrotum, there will be no numbness. However, no good studies show that these seats prevent numbness and therefore prevent impotence, because the nose in front of the hole still exerts pressure on the nerves and arteries. They may make the problem worse because the pressure on an area increases as an area deceases. Making a hole in the middle decreases the surface area of the saddle and therefore increases the pressure on the arteries and nerves. The best way to avoid pressure on the arteries that carry blood to the penis is to use a saddle without any nose. I use a rectangular-shaped seat with rounded edges in the front, called The Seat by Ergo. Similar designs are available from The Solution Bicycle Seat, Easyseat, Spongywonder and Spiderflex brands. The Seat is wide enough to allow me to put my weight on the sitz bones of my pelvis instead of my crotch. I never suffer numbness and don't worry about impotence, but it doesn't work for everyone. Racers need to have a bicycle seat nose between their legs to help control the bicycle with their legs, but if you have no need to ride with both hands off the handle bars at the same time, you should be able to use a nose-less seat. Nose-less seats force you to bend forward. To keep yourself from falling, you have to hold yourself up on your handlebars. This puts a lot of pressure on your shoulders arms and hands, so you must strengthen your upper body and change positions often. Other tips for comfort in a bicycle seat include: 1) Avoid seats with excessive padding. The greater the padding, the deeper you sink into the saddle and the more likely you are to feel numbness. 2) Use gel saddles. They are not too hard and not too soft. 3) Never tilt the saddle nose upward. The seat should be level or angle downward slightly. 4) Set your handlebars higher so that you do not have to bend forward. The lower you bend, the greater the pressure on your perineum. 5) Ride a more upright position. However, this increases wind resistance and will slow you down. 6) Change positions often as you ride. 7) Wear thin padding in your pants. Most good bicycle pants come with form-fitted chamois padding. easy enlarement free penis surgery way vigrx enhancement penis girth enhancement herbal pennis enlargement prosolution penile enlargment pills penis elargement fact truth about penis enlarement pills penis enlagement stretcher top rated pennis enlargement pills

Prostate cancer is a complex heterogeneous disease that acts differently in different men. Therefore, treatment varies amongst individuals. A wide array of treatments exists for prostate cancer, which includes surgery, radiation, hormone deprivation therapy, chemotherapy, dietary changes and the use of various herbal supplements. A patient may undergo hormonal therapy to reduce the level of testosterone in the body. Drugs that reduce testosterone production by the testicles like Luteinizing Hormone-Releasing Hormone (LH-RH) agonists are administered. The effect is not immediate and occurs 2-4 weeks after initiation of the therapy. Orchiectomy or castration is a surgical procedure that completely removes the testicles. It produces an immediate and permanent reduction in testosterone. Another alternative hormonal treatment is the use of hormone-blocking drugs, called antiandrogens. Antiandrogens like flutamide and nilutamide block the body’s ability to use androgens, such as testosterone. Surgeons may use different techniques to remove the prostate. Surgical removal of the entire prostate gland is called radical prostatectomy. Radical prostatectomy is usually performed to remove early-stage prostate cancer that has not yet spread to other parts of the body. Side effects after radical prostatectomy for prostate cancer include incontinence and impotence. Cryosurgery, in which liquid nitrogen is used to freeze and kill prostate cancer cells is a common procedure. During cryosurgery, a warming catheter is inserted through the penis and this protects the urethra. Radiation therapy involves the use of high-energy x-rays or subatomic particles to kill cancer cells. The rays may either be beamed from a machine or emitted by radioactive seeds implanted in the prostate. Chemotherapy is also used to destroy cancer cells. Drugs are introduced into the body via the blood stream. The drugs work by destroying those cells that divide or grow rapidly. The most common side effects of chemotherapy are tiredness, nausea and hair loss. Watchful waiting also known as “observation” is an option that physicians may use. The patients receive no active treatment unless symptoms appear. They may be asked to schedule regular medical checkups and report any new symptoms to the doctor immediately. According to the American Cancer Society, the five-year relative survival rate for patients where cancer is detected while still in the local and regional stage is almost 100%.